Individual
EMILY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2851 UNIVERSITY AVE, DENTAL CLINIC, GREEN BAY, WI 54311-5855
(920) 431-2843
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2843
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001178-15
WI
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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