Individual
REBECCA SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1800 C WEST MASON STREET, GREEN BAY, WI 54303-4058
(920) 499-7159
Mailing address
1800 C WEST MASON STREET, GREEN BAY, WI 54303-4058
(920) 499-7159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3682-015
WI
Other
Enumeration date
11/01/2006
Last updated
01/02/2014
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