Organization
DENTAL ARTS ASSOCIATES OF GREEN BAY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY KATE FRIBERG WYCKOFF MSM (OFFICE MANAGER)
(920) 494-9541
Entity
Organization
Contact information
Practice address
1711 SHAWANO AVE, GREEN BAY, WI 54303
(920) 494-9541
(920) 494-2026
Mailing address
1711 SHAWANO AVE, GREEN BAY, WI 54303
(920) 494-9541
(920) 494-2026
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
WI
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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