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1295738854
PAUL DAVID VANDER KELEN
GREEN BAY, WI
NPI
1295738854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI WI 2484)
Enumeration Date
2005-05-27
Last Update Date
2007-07-08
Business Address
Dr. PAUL DAVID VANDER KELEN D.D.S.
2313 S. WEBSTER AVENUE
GREEN BAY, WI 54301-2194
Phone number: 920-432-8492
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Mailing Address
Dr. PAUL DAVID VANDER KELEN D.D.S.
3934 SAINT CROIX CIR E
GREEN BAY, WI 54301-1075
Phone number: 920-337-0970
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