Individual
DR. SCOTT NICHOLAS QUANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2280 HOLMGREN WAY, GREEN BAY, WI 54304-4710
(920) 499-6466
Mailing address
2280 HOLMGREN WAY, GREEN BAY, WI 54304-4710
(920) 499-6466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1482G
WI
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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