Parc Village Dental, LLC

NPI #1386102465 in Green Bay, Wisconsin

Provider Information

NPI Number: 1386102465
Entity Type: Organization
Organization Name: Parc Village Dental, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PARC VILLAGE DENTAL, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 7, 2019
Last Updated: Mar 7, 2019

Practice Location

Address: 2805 LIBAL STREET, SUITE A
City: Green Bay
State: Wisconsin
ZIP Code: 54301
Phone: (920) 336-6062

Authorized Official

Name: STEVEN R HEIN, DDS
Title: MEMBER
Phone: (920) 336-6062

Specialties & Taxonomy Codes

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

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