| Wisconsin Tongue Tie Institute Llc | |
|
1300 W Main Ave Ste 150 De Pere WI 54115-9366 | |
| (920) 336-6594 | |
| Not Available |
| Full Name | Wisconsin Tongue Tie Institute Llc |
|---|---|
| Speciality | Dentist |
| Location | 1300 W Main Ave Ste 150, De Pere, Wisconsin |
| Authorized Official Name and Position | Paul Robert Appleton (COO) |
| Authorized Official Contact | 9203473735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Tongue Tie Institute Llc 1300 W Main Ave Ste 150 De Pere WI 54115-9366 Ph: (920) 336-6594 | Wisconsin Tongue Tie Institute Llc 1300 W Main Ave Ste 150 De Pere WI 54115-9366 Ph: (920) 336-6594 |
| NPI Number | 1447025127 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 11/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447025127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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