Organization
US DEPARTMENT OF VETERAN AFFAIRS
Active
Other names
Green Bay VA dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKUR PATEL DDS (DENTAL CHEIF)
(920) 431-2500
Entity
Organization
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
4090 MONROE RD, DE PERE, WI 54115-9205
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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