Allouez Family Dental Center Sc

NPI #1477639102 in Green Bay, Wisconsin

Provider Information

NPI Number: 1477639102
Entity Type: Organization
Organization Name: Allouez Family Dental Center Sc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2805 LIBAL ST
Address 2: STE C
City: Green Bay
State: Wisconsin
ZIP Code: 54301-2788
Phone: (920) 339-8980

Authorized Official

Name: MR. PAUL A KOLLATH, DDS
Title: PRESIDENT
Phone: (920) 339-8980

Specialties & Taxonomy Codes

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

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