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1215164777
PINE VIEW DENTAL, LLC
GREEN BAY, WI
NPI
1215164777
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Entity Type
Organization
Authorized Contact
CHRIS J HANSEN
Owner
920-499-9131
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2009-06-11
Last Update Date
2009-06-11
Business Address
PINE VIEW DENTAL, LLC
1415 W MASON ST
GREEN BAY, WI 54303-2120
Phone number: 920-499-9131
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Mailing Address
PINE VIEW DENTAL, LLC
1415 W MASON ST
GREEN BAY, WI 54303-2120
Phone number: 920-499-9131
Copy
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