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Organization
CHILDREN'S DENTAL CLINIC OF GREEN BAY, LLC
Active
Organization
CHILDREN'S DENTAL CLINIC OF GREEN BAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN HAWS (INSURANCE COORDINATOR)
(920) 336-4002
Entity
Organization
Contact information
Practice address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
Mailing address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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