Familia Dental Green Bay East LLC
NPI #1194188706 in Green Bay, Wisconsin
Provider Information
- NPI Number
- 1194188706
- Entity Type
- Organization
- Organization Name
- Familia Dental Green Bay East LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 31, 2016
- Last Updated
- Oct 15, 2021
Practice Location
Authorized Official
- Name
- MR. BRANDON ALEXANDER TAYLOR, CPCS
- Title
- CREDENTIALING & PAYER RELATIONS MAN
- Phone
- (847) 453-7396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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