Pine View Dental, LLC

NPI #1215164777 in Green Bay, Wisconsin

Provider Information

NPI Number: 1215164777
Entity Type: Organization
Organization Name: Pine View Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 11, 2009
Last Updated: Jun 11, 2009

Practice Location

Address: 1415 W MASON ST
City: Green Bay
State: Wisconsin
ZIP Code: 54303-2120
Phone: (920) 499-9131

Authorized Official

Name: DR. CHRIS J HANSEN
Title: OWNER
Phone: (920) 499-9131

Specialties & Taxonomy Codes

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

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