| Park Place Dental Care | |
|
1551 Park Pl Suite 300 Green Bay WI 54304-1982 | |
| (920) 497-8500 | |
| (920) 497-3213 |
| Full Name | Park Place Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1551 Park Pl, Green Bay, Wisconsin |
| Authorized Official Name and Position | Genie Kuble (CONTACT OFFICER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Dental Care 1551 Park Pl Suite 300 Green Bay WI 54304-1982 Ph: (920) 497-8500 | Park Place Dental Care 1551 Park Pl Suite 300 Green Bay WI 54304-1982 Ph: (920) 497-8500 |
| NPI Number | 1467528760 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467528760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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