Organization
THE DENTAL EXTRACTION COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SCHMIDT (OWNER)
(612) 877-2650
Entity
Organization
Contact information
Practice address
2664 S ONEIDA ST STE 104, GREEN BAY, WI 54304-5615
(920) 234-8904
Mailing address
2664 S ONEIDA ST STE 104, GREEN BAY, WI 54304-5615
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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