Individual
DR. JOSEPHINE MARYETTA VAN ESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1640 MAIN ST, GREEN BAY, WI 54302-2639
(920) 468-6371
Mailing address
1640 MAIN ST, GREEN BAY, WI 54302-2639
(920) 468-6371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001595-15
WI
Other
Enumeration date
07/19/2017
Last updated
01/30/2019
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