Green Bay Dental Professionals LLC

NPI #1790442838 in Green Bay, Wisconsin

Provider Information

NPI Number: 1790442838
Entity Type: Organization
Organization Name: Green Bay Dental Professionals LLC
Primary Specialty: Dentist
Enumeration Date: Nov 23, 2021
Last Updated: Nov 23, 2021

Practice Location

Address: 1551 PARK PL STE 300
City: Green Bay
State: Wisconsin
ZIP Code: 54304-1969
Phone: (920) 345-5150

Authorized Official

Name: MITCH WEILAND
Title: ASSISTANT CONTROLLER
Phone: (608) 343-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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