| Parc Village Dental, Llc | |
|
2805 Libal Street, Suite A Green Bay WI 54301 | |
| (920) 336-6062 | |
| (920) 336-9272 |
| Full Name | Parc Village Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2805 Libal Street, Suite A, Green Bay, Wisconsin |
| Authorized Official Name and Position | Steven R Hein (MEMBER) |
| Authorized Official Contact | 9203366062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parc Village Dental, Llc 2805 Libal Street, Suite A Green Bay WI 54301 Ph: (920) 336-6062 | Parc Village Dental, Llc 2805 Libal Street, Suite A Green Bay WI 54301 Ph: (920) 336-6062 |
| NPI Number | 1386102465 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 03/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386102465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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