Organization
CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET ANN MILLER DDS (PEDIATRIC DENTIST)
(920) 336-4002
Entity
Organization
Contact information
Practice address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
(920) 336-4112
Mailing address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
(920) 336-4112
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4176
WI
Other
Enumeration date
11/07/2006
Last updated
01/07/2011
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