Organization
AFFORDABLE DENTURES & IMPLANTS - GREEN BAY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETTY DDS (OWNER)
(920) 499-7159
Entity
Organization
Contact information
Practice address
1800-C W. MASON STREET, GREEN BAY, WI 54303
(920) 499-7159
Mailing address
1800-C W. MASON STREET, GREEN BAY, WI 54303
(920) 499-7159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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