Organization
BAY ORAL SURGERY & IMPLANT CENTER, LTD
Active
Other names
Bay Oral & Maxillofacial Surgery, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M GREENE (PRACTICE ADMINSTRAT)
(920) 499-0471
Entity
Organization
Contact information
Practice address
2353 S RIDGE ROAD, GREEN BAY, WI 54304
(920) 499-0471
(920) 499-8312
Mailing address
2353 S RIDGE ROAD, GREEN BAY, WI 54304
(920) 499-0471
(920) 499-8312
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
12/16/2014
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