Individual
LEE S BIALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2821 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 336-2299
Mailing address
2821 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 336-2299
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4934
WI
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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