Ahp 007

NPI #1831902394 in Appleton, Wisconsin

Provider Information

NPI Number: 1831902394
Entity Type: Organization
Organization Name: Ahp 007
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 29, 2025
Last Updated: Jan 29, 2025

Practice Location

Address: 3913 W PROSPECT AVE STE 101
City: Appleton
State: Wisconsin
ZIP Code: 54914-8797
Phone: (920) 202-3502

Authorized Official

Name: KATE MANTAY
Title: DIRECTOR OF OPERATIONS
Phone: (262) 649-4900

Specialties & Taxonomy Codes

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

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