| Orthodontic Specialists Of Green Bay, Ltd | |
|
1839 Scheuring Rd De Pere WI 54115-9401 | |
| (920) 336-2299 | |
| Not Available |
| Full Name | Orthodontic Specialists Of Green Bay, Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1839 Scheuring Rd, De Pere, Wisconsin |
| Authorized Official Name and Position | Edward Y Lin (PRES) |
| Authorized Official Contact | 9203362299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Specialists Of Green Bay, Ltd 1839 Scheuring Road De Pere WI 54115 Ph: (920) 336-2299 | Orthodontic Specialists Of Green Bay, Ltd 1839 Scheuring Rd De Pere WI 54115-9401 Ph: (920) 336-2299 |
| NPI Number | 1376618207 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376618207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Wisconsin) | Primary |
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