| Amenity Dental Care, S.c. | |
|
2121 S Webster Ave Suite 3 Green Bay WI 54301-2290 | |
| (920) 437-8017 | |
| Not Available |
| Full Name | Amenity Dental Care, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2121 S Webster Ave, Green Bay, Wisconsin |
| Authorized Official Name and Position | David A Shavlik (DENTIST) |
| Authorized Official Contact | 9204378017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amenity Dental Care, S.c. 2121 S Webster Ave Suite 3 Green Bay WI 54301-2290 Ph: (920) 437-8017 | Amenity Dental Care, S.c. 2121 S Webster Ave Suite 3 Green Bay WI 54301-2290 Ph: (920) 437-8017 |
| NPI Number | 1982738688 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982738688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4569-015 (Wisconsin) | Primary |
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