Organization
ORTHODONTIC SPECIALISTS OF GREEN BAY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD Y LIN DDS, MS (PRES)
(920) 336-2299
Entity
Organization
Contact information
Practice address
1839 SCHEURING RD, DE PERE, WI 54115-9401
(920) 336-2299
Mailing address
1839 SCHEURING ROAD, DE PERE, WI 54115
(920) 336-2299
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
WI
Other
Enumeration date
11/24/2006
Last updated
11/02/2011
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