EASTRIDGE DENTAL ASSOCIATES, S.C.

GREEN BAY, WI
NPI1184775892
Entity TypeOrganization
Authorized ContactJOHN E. PATRICKUS
President
920-468-8144
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2007-01-16
Last Update Date2008-07-01
Business Address
EASTRIDGE DENTAL ASSOCIATES, S.C.
2343 E MASON ST
GREEN BAY, WI 54302-3764
Phone number: 920-468-8144
Mailing Address
EASTRIDGE DENTAL ASSOCIATES, S.C.
2343 E. MASON STREET
GREEN BAY, WI 54302
Phone number: 920-468-8144
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