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1396105474
MDC BELLEVUE, L.L.C.
GREEN BAY, WI
NPI
1396105474
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Entity Type
Organization
Authorized Contact
WILLIAM C MAUTHE
Owner
920-921-1244
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
MDC BELLEVUE, L.L.C.
2040 CENTRAL CT
GREEN BAY, WI 54311-6276
Phone number: 920-468-0504
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Mailing Address
MDC BELLEVUE, L.L.C.
7 SHEBOYGAN ST
FOND DU LAC, WI 54935-4281
Phone number: 920-922-8171
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