| Apple Creek Ltd | |
|
2310 E Evergreen Dr Suite B Appleton WI 54913-7404 | |
| (920) 738-7600 | |
| Not Available |
| Full Name | Apple Creek Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2310 E Evergreen Dr, Appleton, Wisconsin |
| Authorized Official Name and Position | James Tomassetti (PRESIDENT) |
| Authorized Official Contact | 9207387600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Creek Ltd 2310 E Evergreen Dr Suite B Appleton WI 54913-7404 Ph: (920) 738-7600 | Apple Creek Ltd 2310 E Evergreen Dr Suite B Appleton WI 54913-7404 Ph: (920) 738-7600 |
| NPI Number | 1790188852 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790188852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5699 (Wisconsin) | Primary |
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