Individual
DR. PAUL DAVID VANDER KELEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2313 S. WEBSTER AVENUE, GREEN BAY, WI 54301-2194
(920) 432-8492
(920) 432-6141
Mailing address
3934 SAINT CROIX CIR E, GREEN BAY, WI 54301-1075
(920) 337-0970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI 2484
WI
Other
Enumeration date
05/27/2005
Last updated
07/08/2007
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