Sunridge Dental LLC

NPI #1891172425 in Green Bay, Wisconsin

Provider Information

NPI Number: 1891172425
Entity Type: Organization
Organization Name: Sunridge Dental LLC
Primary Specialty: Dentist
Enumeration Date: May 4, 2015
Last Updated: May 4, 2015

Practice Location

Address: 2926 FINGER RD
City: Green Bay
State: Wisconsin
ZIP Code: 54311-7548
Phone: (920) 468-8085

Authorized Official

Name: DR. JILL M CARTER, D.D.S.
Title: OWNER
Phone: (920) 468-8085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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