Organization
CHILDREN'S DENTAL CLINIC OF GREEN BAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN HAWS (INSURANCE COORDINATOR)
(920) 336-4002
Entity
Organization
Contact information
Practice address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
Mailing address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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