Mark Robert Vande Walle, DDS
NPI #1083749774 in Green Bay, Wisconsin
Provider Information
- NPI Number
- 1083749774
- Entity Type
- Individual
- Name
- Mark Robert Vande Walle, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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