Individual
GAURAV SOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 PARK PL STE 300, GREEN BAY, WI 54304-1969
(920) 365-5365
Mailing address
1551 PARK PL STE 300, GREEN BAY, WI 54304-1969
(920) 365-5365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001856-15
WI
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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