| Healthy Teeth Green Bay Sc | |
|
2324 Old Plank Rd De Pere WI 54115-8618 | |
| (623) 434-9343 | |
| (623) 321-6268 |
| Full Name | Healthy Teeth Green Bay Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2324 Old Plank Rd, De Pere, Wisconsin |
| Authorized Official Name and Position | Rachel Razo (CREDENTIALING) |
| Authorized Official Contact | 6234349343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Teeth Green Bay Sc 1904 W Parkside Ln Suite 201 Phoenix AZ 85027-1228 Ph: (623) 434-9343 | Healthy Teeth Green Bay Sc 2324 Old Plank Rd De Pere WI 54115-8618 Ph: (623) 434-9343 |
| NPI Number | 1003837139 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003837139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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