Northstar Dental Grp

NPI #1679553093 in Appleton, Wisconsin

Provider Information

NPI Number: 1679553093
Entity Type: Organization
Organization Name: Northstar Dental Grp
Primary Specialty: Dentist
Enumeration Date: Jan 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5760 GRANDE MARKET DR
City: Appleton
State: Wisconsin
ZIP Code: 54913
Phone: (920) 997-1557

Authorized Official

Name: DR. PETER D HEHLI, DDS
Title: OWNER DENTIST
Phone: (920) 997-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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