| Allouez Family Dental Center Sc | |
|
2805 Libal St Ste C Green Bay WI 54301-2788 | |
| (920) 339-8980 | |
| (920) 339-0133 |
| Full Name | Allouez Family Dental Center Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2805 Libal St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Paul A Kollath (PRESIDENT) |
| Authorized Official Contact | 9203398980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allouez Family Dental Center Sc 2805 Libal St Ste C Green Bay WI 54301-2877 Ph: () - | Allouez Family Dental Center Sc 2805 Libal St Ste C Green Bay WI 54301-2788 Ph: (920) 339-8980 |
| NPI Number | 1477639102 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477639102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1857-G (Wisconsin) | Primary |
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