Green Bay Family Dental LLC

NPI #1851844161 in Green Bay, Wisconsin

Provider Information

NPI Number: 1851844161
Entity Type: Organization
Organization Name: Green Bay Family Dental LLC
Primary Specialty: Dentist
Enumeration Date: Aug 3, 2016
Last Updated: Aug 3, 2016

Practice Location

Address: 2609 DEVELOPMENT DR.
City: Green Bay
State: Wisconsin
ZIP Code: 54311
Phone: (920) 432-2961

Authorized Official

Name: DR. HEIDI EGGERS-ULVE, DDS, MS
Title: MEMBER
Phone: (920) 432-2961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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