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1538232202
UNIVERISTY DENTAL LLC
GREEN BAY, WI
NPI
1538232202
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Entity Type
Organization
Authorized Contact
DANIEL E TACHE
Owner
920-437-7444
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA 5089-015)
Enumeration Date
2006-11-17
Last Update Date
2020-08-22
Business Address
UNIVERISTY DENTAL LLC
1833 UNIVERSITY AVE
GREEN BAY, WI 54302-3637
Phone number: 920-437-7444
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Mailing Address
UNIVERISTY DENTAL LLC
1833 UNIVERSITY AVE
GREEN BAY, WI 54302-3637
Phone number: 920-437-7444
Copy
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