Individual
WHITNEY EICHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
125 SIEGLER ST, GREEN BAY, WI 54303
(920) 592-8940
Mailing address
125 SIEGLER ST, GREEN BAY, WI 54303-2635
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6692-15
WI
Other
Enumeration date
04/13/2011
Last updated
09/24/2019
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