Park Place Dental Care

NPI #1467528760 in Green Bay, Wisconsin

Provider Information

NPI Number: 1467528760
Entity Type: Organization
Organization Name: Park Place Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1551 PARK PL
Address 2: SUITE 300
City: Green Bay
State: Wisconsin
ZIP Code: 54304-1982
Phone: (920) 497-8500

Authorized Official

Name: GENIE KUBLE
Title: CONTACT OFFICER
Phone: (920) 450-0157

Specialties & Taxonomy Codes

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

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