Children's Dental Clinic of Green Bay, LLC

NPI #1306543095 in De Pere, Wisconsin

Provider Information

NPI Number
1306543095
Entity Type
Organization
Organization Name
Children's Dental Clinic of Green Bay, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Feb 13, 2023
Last Updated
Feb 13, 2023

Practice Location

Address
534 REDBIRD CIR
ZIP Code
54115-8785
Phone
(920) 336-4002

Authorized Official

Name
KAITLIN HAWS
Title
INSURANCE COORDINATOR
Phone
(920) 336-4002

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Provider Name
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