Greenbayctd LLC
NPI #1023699576 in Green Bay, Wisconsin
Provider Information
- NPI Number
- 1023699576
- Entity Type
- Organization
- Organization Name
- Greenbayctd LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 16, 2021
- Last Updated
- Apr 16, 2021
Practice Location
Authorized Official
- Name
- MITCH WEILAND
- Title
- ASSISTANT CONTROLLER
- Phone
- (608) 343-0818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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