Organization
BAY PARK SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BUSHONG (DENTIST/OWNER)
(715) 573-3546
Entity
Organization
Contact information
Practice address
1052 BEL AIRE CT, GREEN BAY, WI 54304-5015
(920) 499-2121
Mailing address
1052 BEL AIRE CT, GREEN BAY, WI 54304-5015
(920) 499-2121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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