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Organization

FOX VIEW DENTAL SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MURRAY J BASTEN DDS (CO OWNER)
(920) 336-4201
Entity
Organization

Contact information

Practice address
2310 OAK RIDGE CIRCLE, DE PERE, WI 54115
(920) 336-4201
(920) 336-0340
Mailing address
2310 OAK RIDGE CIRCLE, DE PERE, WI 54115
(920) 336-4201
(920) 336-0340

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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