Applewhite Dental Wisconsin, P.c.
NPI #1235625823 in Cottage Grove, Wisconsin
Provider Information
- NPI Number
- 1235625823
- Entity Type
- Organization
- Organization Name
- Applewhite Dental Wisconsin, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- APPLEWHITE DENTAL WISCONSIN, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 6, 2018
- Last Updated
- Jul 29, 2019
Practice Location
- Address
- 226 W COTTAGE GROVE RD
- City
- Cottage Grove
- State
- Wisconsin
- ZIP Code
- 53527-9620
- Phone
- (608) 839-4554
Authorized Official
- Name
- EMMY MONTES
- Title
- CBO SUPERVISOR
- Phone
- (563) 582-1448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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