Organization
VALLEY ENDODONTICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STARR WILLIAM CLARK DDS (ENDODONTIST PARTNER)
(920) 731-4484
Entity
Organization
Contact information
Practice address
1100 N LYNNDALE DRIVE, APPLETON, WI 54914
(920) 731-4484
(920) 731-2889
Mailing address
1100 N LYNNDALE DRIVE, APPLETON, WI 54914
(920) 731-4484
(920) 731-2889
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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