Organization
MEADOWBROOK SMILES
Active
Other names
Timbercreek Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA P VANMILLER DDS (OWNER)
(920) 366-5068
Entity
Organization
Contact information
Practice address
2550 GLENDALE AVE, GREEN BAY, WI 54313-6849
(920) 434-3900
(920) 434-6980
Mailing address
2550 GLENDALE AVE, GREEN BAY, WI 54313-6849
(920) 434-3900
(920) 434-6980
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
1001549-15
WI
261QD0000X
Dental Clinic/Center
Primary
15-5497
WI
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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