Tenor Family Dentistry of Appleton

NPI #1063775377 in Appleton, Wisconsin

Provider Information

NPI Number: 1063775377
Entity Type: Organization
Organization Name: Tenor Family Dentistry of Appleton
Primary Specialty: Dentist
Enumeration Date: Jun 21, 2012
Last Updated: Jun 21, 2012

Practice Location

Address: 2600 N RICHMOND ST
City: Appleton
State: Wisconsin
ZIP Code: 54911-1956
Phone: (920) 730-0400

Authorized Official

Name: REBECCA LYNN BERGENE
Title: CHIEF OPERATING OFFICER
Phone: (920) 860-9252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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