Individual
ARDIT HAXHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2353 S RIDGE RD, GREEN BAY, WI 54304-5069
(920) 499-0471
Mailing address
2353 S RIDGE RD, GREEN BAY, WI 54304-5069
(314) 679-0303
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002731-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
RES-30606
IA
Other
Enumeration date
04/08/2021
Last updated
06/19/2025
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