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Individual

DR. KIRK DECREMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2121 S WEBSTER AVE, GREEN BAY, WI 54301-2290
(920) 435-1998
(920) 435-1399
Mailing address
2121 S WEBSTER AVE, GREEN BAY, WI 54301-2290
(920) 435-1998
(920) 435-1399

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001330-15
WI

Other

Enumeration date
04/18/2016
Last updated
11/20/2017
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