Organization
VOYAGER FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON P WISTENBERG DDS (DENTIST)
(920) 465-9887
Entity
Organization
Contact information
Practice address
3071 VOYAGER DR STE B, GREEN BAY, WI 54311-8352
(920) 465-9887
Mailing address
3071 VOYAGER DR STE B, GREEN BAY, WI 54311-8352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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