Individual
DR. JULIE ANNE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
844 WILLARD DR STE E, GREEN BAY, WI 54304-5265
(920) 497-1302
Mailing address
626 BADER ST, GREEN BAY, WI 54302-4020
(920) 465-1531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5558
WI
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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