Advanced Care Smile Center Of Appleton | |
2600 N Richmond St Appleton WI 54911-1956 | |
(920) 730-0400 | |
Not Available |
Full Name | Advanced Care Smile Center Of Appleton |
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Speciality | Dentist |
Location | 2600 N Richmond St, Appleton, Wisconsin |
Authorized Official Name and Position | Rebecca Lynn Bergene (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 9208609252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Care Smile Center Of Appleton 850 Elm Grove Rd Ste 25 Elm Grove WI 53122-2527 Ph: (920) 860-9252 | Advanced Care Smile Center Of Appleton 2600 N Richmond St Appleton WI 54911-1956 Ph: (920) 730-0400 |
NPI Number | 1063775377 |
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Provider Enumeration Date | 06/21/2012 |
Last Update Date | 06/21/2012 |
Identifier | Type | State | Issuer |
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1063775377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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