Organization
PINE VIEW DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS J HANSEN (OWNER)
(920) 499-9131
Entity
Organization
Contact information
Practice address
1415 W MASON ST, GREEN BAY, WI 54303-2120
(920) 499-9131
Mailing address
1415 W MASON ST, GREEN BAY, WI 54303-2120
(920) 499-9131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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