Individual
JAMIE LYNN MLNARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 ALLOUEZ AVE, GREEN BAY, WI 54311-6267
(920) 465-4902
Mailing address
1595 ALLOUEZ AVE, GREEN BAY, WI 54311-6267
(920) 465-4902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6247
WI
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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