Organization
PARC VILLAGE DENTAL, LLC
Active
Parent organization
PARC VILLAGE DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARC VILLAGE DENTAL, LLC
Authorized official
STEVEN R HEIN DDS (MEMBER)
(920) 336-6062
Entity
Organization
Contact information
Practice address
2805 LIBAL STREET, SUITE A, GREEN BAY, WI 54301
(920) 336-6062
(920) 336-9272
Mailing address
2805 LIBAL STREET, SUITE A, GREEN BAY, WI 54301
(920) 336-6062
(920) 336-9272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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