| Bay Park Smiles Llc | |
|
1052 Bel Aire Ct Green Bay WI 54304-5015 | |
| (920) 499-2121 | |
| Not Available |
| Full Name | Bay Park Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1052 Bel Aire Ct, Green Bay, Wisconsin |
| Authorized Official Name and Position | Aaron Bushong (DENTIST/OWNER) |
| Authorized Official Contact | 7155733546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Park Smiles Llc 1052 Bel Aire Ct Green Bay WI 54304-5015 Ph: (920) 499-2121 | Bay Park Smiles Llc 1052 Bel Aire Ct Green Bay WI 54304-5015 Ph: (920) 499-2121 |
| NPI Number | 1104543065 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104543065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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