The Center for Dental Excellence, S.c.

NPI #1013124056 in Green Bay, Wisconsin

Provider Information

NPI Number: 1013124056
Entity Type: Organization
Organization Name: The Center for Dental Excellence, S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 17, 2007
Last Updated: Mar 24, 2009

Practice Location

Address: 410 SECURITY BLVD
City: Green Bay
State: Wisconsin
ZIP Code: 54313-9705
Phone: (920) 662-1440

Authorized Official

Name: DR. DAVID J. BRUSKY, D.D.S.
Title: PRESIDENT
Phone: (920) 662-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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