Organization
CHILDREN'S DENTAL HEALTH CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J STEINMETZ D.D.S., M.S. (PRESIDENT)
(920) 731-2566
Entity
Organization
Contact information
Practice address
W3132 VAN ROY RD, APPLETON, WI 54915-3982
(920) 731-2566
(920) 731-7868
Mailing address
W3132 VAN ROY RD, APPLETON, WI 54915-3982
(920) 731-2566
(920) 731-7868
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4586
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33570700
—
WI
05
—
33732800
—
WI
05
—
33744500
—
WI
Enumeration date
11/14/2005
Last updated
08/22/2020
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