MARK BRODHAGEN DDS SC

GREEN BAY, WI
NPI1164500591
Entity TypeOrganization
Authorized ContactMARK ANDREW BRODHAGEN
Owner
920-499-2121
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-11-02
Last Update Date2016-11-16
Business Address
MARK BRODHAGEN DDS SC
1052 BEL AIRE COURT
GREEN BAY, WI 54304
Phone number: 920-499-2121
Mailing Address
MARK BRODHAGEN DDS SC
1052 BEL AIRE COURT
GREEN BAY, WI 54304
Phone number: 920-499-2121
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