| Green Bay Family Dental Llc | |
|
2609 Development Dr. Green Bay WI 54311 | |
| (920) 432-2961 | |
| Not Available |
| Full Name | Green Bay Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2609 Development Dr., Green Bay, Wisconsin |
| Authorized Official Name and Position | Heidi Eggers-ulve (MEMBER) |
| Authorized Official Contact | 9204322961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Bay Family Dental Llc 2609 Development Dr. Green Bay WI 54311 Ph: (920) 432-2961 | Green Bay Family Dental Llc 2609 Development Dr. Green Bay WI 54311 Ph: (920) 432-2961 |
| NPI Number | 1851844161 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851844161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4264 (Wisconsin) | Primary |
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