Forest View Dental, S.c.

NPI #1790712180 in Appleton, Wisconsin

Provider Information

NPI Number: 1790712180
Entity Type: Organization
Organization Name: Forest View Dental, S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1111 W VALLEY RD
City: Appleton
State: Wisconsin
ZIP Code: 54915-1485
Phone: (920) 733-1111

Authorized Official

Name: DR. THOMAS J. LASELLE, DDS
Title: OWNER/ PRESIDENT
Phone: (920) 733-1111

Specialties & Taxonomy Codes

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

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