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Wisconsin Tongue Tie Institute LLC

NPI #1447025127 in De Pere, Wisconsin

Provider Information

NPI Number
1447025127
Entity Type
Organization
Organization Name
Wisconsin Tongue Tie Institute LLC
Primary Specialty
Dentist
Enumeration Date
Nov 22, 2023
Last Updated
Nov 22, 2023

Practice Location

Address
1300 W MAIN AVE STE 150
City
De Pere
State
Wisconsin
ZIP Code
54115-9366
Phone
(920) 336-6594

Authorized Official

Name
PAUL ROBERT APPLETON
Title
COO
Phone
(920) 347-3735

Specialties & Taxonomy Codes

Specialty
Dentist

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