Mdc Appleton S

NPI #1083056600 in Appleton, Wisconsin

Provider Information

NPI Number: 1083056600
Entity Type: Organization
Organization Name: Mdc Appleton S
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 24, 2013
Last Updated: Jul 24, 2013

Practice Location

Address: 1707 S ONEIDA ST
City: Appleton
State: Wisconsin
ZIP Code: 54915-1302
Phone: (920) 734-2392

Authorized Official

Name: DR. WILLIAM MAUTHE III, D.D.S.
Title: OWNER
Phone: (920) 948-6407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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