| Family Dental Center Of Green Bay, S.c. | |
|
2247 Fox Heights Ln Green Bay WI 54304-4747 | |
| (920) 499-2560 | |
| (920) 499-2260 |
| Full Name | Family Dental Center Of Green Bay, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2247 Fox Heights Ln, Green Bay, Wisconsin |
| Authorized Official Name and Position | Richard Thomas Lochowitz (OWNER-PARTNER) |
| Authorized Official Contact | 9204992560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Center Of Green Bay, S.c. 2247 Fox Heights Ln Green Bay WI 54304-4747 Ph: (920) 499-2560 | Family Dental Center Of Green Bay, S.c. 2247 Fox Heights Ln Green Bay WI 54304-4747 Ph: (920) 499-2560 |
| NPI Number | 1831301290 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831301290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Wisconsin) | Primary |
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