| NPI | 1003422304 |
|---|---|
| Doing Business As | APPLETON VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MITCHELL WEILAND Senior Accountant 608-343-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |