Affordable Dentures & Implants - Green Bay, S.c.
NPI #1003460551 in Green Bay, Wisconsin
Provider Information
- NPI Number
- 1003460551
- Entity Type
- Organization
- Organization Name
- Affordable Dentures & Implants - Green Bay, S.c.
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 1, 2019
- Last Updated
- Aug 1, 2019
Practice Location
Authorized Official
- Name
- JOHN PETTY, DDS
- Title
- OWNER
- Phone
- (920) 499-7159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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| DR. Charles Lee Ellis, DDS, MD | |
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| Mark Robert Vande Walle, DDS | |
| Mujtaba Khan |
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