Organization
G.D. PIONEK,D.D.S.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DAVID PIONEK D.D.S. (CEO)
19204378116
Entity
Organization
Contact information
Practice address
1825 S WEBSTER AVE, SUITE 201, GREEN BAY, WI 54301-2280
(192) 043-7811
Mailing address
1825 S WEBSTER AVE, SUITE 201, GREEN BAY, WI 54301-2280
(192) 043-7811
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
WI
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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