UNIVERISTY DENTAL LLC

GREEN BAY, WI
NPI1538232202
Entity TypeOrganization
Authorized ContactDANIEL E TACHE
Owner
920-437-7444
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  5089-015)
Enumeration Date2006-11-17
Last Update Date2020-08-22
Business Address
UNIVERISTY DENTAL LLC
1833 UNIVERSITY AVE
GREEN BAY, WI 54302-3637
Phone number: 920-437-7444
Mailing Address
UNIVERISTY DENTAL LLC
1833 UNIVERSITY AVE
GREEN BAY, WI 54302-3637
Phone number: 920-437-7444