| Fox Valley Orthodontics | |
|
1155 Wittmann Dr Menasha WI 54952-3607 | |
| (920) 725-1845 | |
| (920) 725-2805 |
| Full Name | Fox Valley Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1155 Wittmann Dr, Menasha, Wisconsin |
| Authorized Official Name and Position | Jeffrey R Lang (PRESIDENT) |
| Authorized Official Contact | 9207251845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Orthodontics 1155 Wittmann Dr Menasha WI 54952-3607 Ph: (920) 725-1845 | Fox Valley Orthodontics 1155 Wittmann Dr Menasha WI 54952-3607 Ph: (920) 725-1845 |
| NPI Number | 1972936508 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972936508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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