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Organization
WILLOW COVE DENTAL, LLC
Active
Organization
WILLOW COVE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYN STECKBAUER DMD (OWNER)
(920) 235-3251
Entity
Organization
Contact information
Practice address
1195 W MASON ST, GREEN BAY, WI 54303-2045
(920) 235-3251
Mailing address
2300 WITZEL AVE, OSHKOSH, WI 54904-1700
(920) 235-3251
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5396-15
WI
Other
Enumeration date
09/28/2017
Last updated
10/18/2023
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