| The Dental Extraction Company, Llc | |
|
2664 S Oneida St Ste 104 Green Bay WI 54304-5615 | |
| (920) 234-8904 | |
| Not Available |
| Full Name | The Dental Extraction Company, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2664 S Oneida St Ste 104, Green Bay, Wisconsin |
| Authorized Official Name and Position | Samuel Schmidt (OWNER) |
| Authorized Official Contact | 6128772650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Extraction Company, Llc 2664 S Oneida St Ste 104 Green Bay WI 54304-5615 Ph: () - | The Dental Extraction Company, Llc 2664 S Oneida St Ste 104 Green Bay WI 54304-5615 Ph: (920) 234-8904 |
| NPI Number | 1336914969 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336914969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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