Organization
APPLE CREEK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TOMASSETTI DMD (PRESIDENT)
(920) 738-7600
Entity
Organization
Contact information
Practice address
2310 E EVERGREEN DR, SUITE B, APPLETON, WI 54913-7404
(920) 738-7600
Mailing address
2310 E EVERGREEN DR, SUITE B, APPLETON, WI 54913-7404
(920) 738-7600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5699
WI
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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