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1821156241
VALLEY PERIODONTICS, S.C.
APPLETON, WI
NPI
1821156241
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Entity Type
Organization
Authorized Contact
S. TIMOTHY ROSE
President
920-731-3224
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
Enumeration Date
2006-12-05
Last Update Date
2020-08-22
Business Address
VALLEY PERIODONTICS, S.C.
2535 NORTHER ROAD
APPLETON, WI 54914
Phone number: 920-731-3224
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Mailing Address
VALLEY PERIODONTICS, S.C.
2535 NORTHER ROAD
APPLETON, WI 54914
Phone number: 920-731-3224
Copy
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