Organization
JANSSEN DENTAL CLINIC S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG B JANSSEN DDS (OWNER)
(920) 983-8383
Entity
Organization
Contact information
Practice address
2649 DEVELOPMENT DR, GREEN BAY, WI 54311-4240
(920) 983-8383
(920) 983-2862
Mailing address
2649 DEVELOPMENT DR, GREEN BAY, WI 54311-4240
(920) 983-8383
(920) 983-2862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3485
WI
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/19/2011
Last updated
09/13/2011
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