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1790442838
GREEN BAY DENTAL PROFESSIONALS LLC
GREEN BAY, WI
NPI
1790442838
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Entity Type
Organization
Authorized Contact
MITCH WEILAND
Assistant Controller
608-343-0818
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
GREEN BAY DENTAL PROFESSIONALS LLC
1551 PARK PL STE 300
GREEN BAY, WI 54304-1969
Phone number: 920-345-5150
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Mailing Address
GREEN BAY DENTAL PROFESSIONALS LLC
8025 EXCELSIOR DR
MADISON, WI 53717-1900
Phone number: 608-343-0818
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