AHP 007

APPLETON, WI
NPI1831902394
Doing Business AsLIVE LIFE SMILING
Entity TypeOrganization
Authorized ContactKATE MANTAY
Director Of Operations
262-649-4900
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2025-01-29
Last Update Date2025-01-29
Business Address
AHP 007
3913 W PROSPECT AVE STE 101
APPLETON, WI 54914-8797
Phone number: 920-202-3502
Mailing Address
AHP 007
15285 WATERTOWN PLANK RD STE 200
ELM GROVE, WI 53122-2339
Phone number: 262-649-4900