| NPI | 1487107306 |
|---|---|
| Doing Business As | GREEN BAY VA DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANKUR PATEL Dental Cheif 920-431-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |