Individual
DAVID A. SHAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2121 S WEBSTER AVE, SUITE 3, GREEN BAY, WI 54301-2290
(920) 437-8017
Mailing address
615 CHALLENGER DR, GREEN BAY, WI 54311-7573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4569-015
WI
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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