DR. Marcus James Vanderleest, DDS

NPI #1083722169 in Green Bay, Wisconsin

Provider Information

NPI Number: 1083722169
Entity Type: Individual
Name: DR. Marcus James Vanderleest, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2913 GLENDALE AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54313
Phone: (920) 434-3950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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