Familia Dental West Green Bay | |
2280 W Mason St Green Bay WI 54303-4707 | |
(888) 988-4066 | |
(847) 496-4850 |
Full Name | Familia Dental West Green Bay |
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Speciality | Clinic/center - Dental |
Location | 2280 W Mason St, Green Bay, Wisconsin |
Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MGR) |
Authorized Official Contact | 8474537396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Familia Dental West Green Bay 2050 E Algonquin Rd Ste 610 Schaumburg IL 60173-4166 Ph: (888) 988-4066 | Familia Dental West Green Bay 2280 W Mason St Green Bay WI 54303-4707 Ph: (888) 988-4066 |
NPI Number | 1588197149 |
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Provider Enumeration Date | 04/10/2017 |
Last Update Date | 10/15/2021 |
Identifier | Type | State | Issuer |
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1588197149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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