HEALTHY TEETH GREEN BAY SC

DE PERE, WI
NPI1003837139
Entity TypeOrganization
Authorized ContactRACHEL RAZO
Credentialing
623-434-9343
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-07-22
Last Update Date2020-08-22
Business Address
HEALTHY TEETH GREEN BAY SC
2324 OLD PLANK RD
DE PERE, WI 54115-8618
Phone number: 623-434-9343
Mailing Address
HEALTHY TEETH GREEN BAY SC
1904 W PARKSIDE LN SUITE 201
PHOENIX, AZ 85027-1228
Phone number: 623-434-9343