Great Blue Dental, LLC

NPI #1720534159 in Marinette, Wisconsin

Provider Information

NPI Number
1720534159
Entity Type
Organization
Organization Name
Great Blue Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 26, 2016
Last Updated
Aug 26, 2016

Practice Location

Address
2005 MARINETTE AVE
ZIP Code
54143-3864
Phone
(715) 732-2601

Authorized Official

Name
WYN STECKBAUER, DMD
Title
OWNER
Phone
(920) 235-3251

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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