Appleton Family Dentistry Sc

NPI #1447325527 in Appleton, Wisconsin

Provider Information

NPI Number: 1447325527
Entity Type: Organization
Organization Name: Appleton Family Dentistry Sc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2830 N MASON ST
City: Appleton
State: Wisconsin
ZIP Code: 54914-1353
Phone: (920) 731-2356

Authorized Official

Name: DR. RICHARD E GOSSE
Title: PARTNER DENTIST
Phone: (920) 731-2356

Specialties & Taxonomy Codes

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

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