# KIDS DENTAL EXPERTS PARTNERSHIP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park-west Pediatric Dental Associates, Kids Dental Experts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730397233
- **Authorized official:** DR. ERIC J. VAN MILLER DDS (OWNER DOCTOR)
- **Authorized official phone:** (920) 592-8940

## Contact information

- **Practice address:** 125 SIEGLER STREET, GREEN BAY, WI 54303
- **Practice address phone:** (920) 592-8940
- **Practice address fax:** (920) 592-8953
- **Mailing address:** 125 SIEGLER STREET, GREEN BAY, WI 54303
- **Mailing address phone:** (920) 592-8940
- **Mailing address fax:** (920) 592-8953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5182-015 | WI | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 07/19/2024