Kids Dental Experts Partnership, Llc | |
125 Siegler Street Green Bay WI 54303 | |
(920) 592-8940 | |
(920) 592-8953 |
Full Name | Kids Dental Experts Partnership, Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 125 Siegler Street, Green Bay, Wisconsin |
Authorized Official Name and Position | Eric J. Van Miller (OWNER DOCTOR) |
Authorized Official Contact | 9205928940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kids Dental Experts Partnership, Llc 125 Siegler Street Green Bay WI 54303 Ph: (920) 592-8940 | Kids Dental Experts Partnership, Llc 125 Siegler Street Green Bay WI 54303 Ph: (920) 592-8940 |
NPI Number | 1730397233 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 07/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730397233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 5182-015 (Wisconsin) | Primary |
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