Echo Ridge Dental Clinic

NPI #1063622645 in Green Bay, Wisconsin

Provider Information

NPI Number: 1063622645
Entity Type: Organization
Organization Name: Echo Ridge Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: May 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2140 S. RIDGE RD.
City: Green Bay
State: Wisconsin
ZIP Code: 54304
Phone: (920) 494-7464

Authorized Official

Name: RAYMOND L SCHNEIDER III, DDS
Title: OWNER-DENTIST
Phone: 92049474646

Specialties & Taxonomy Codes

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

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