Organization
KIDS DENTAL EXPERTS PARTNERSHIP, LLC
Active
Other names
Park-west Pediatric Dental Associates, Kids Dental Experts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J. VAN MILLER DDS (OWNER DOCTOR)
(920) 592-8940
Entity
Organization
Contact information
Practice address
125 SIEGLER STREET, GREEN BAY, WI 54303
(920) 592-8940
(920) 592-8953
Mailing address
125 SIEGLER STREET, GREEN BAY, WI 54303
(920) 592-8940
(920) 592-8953
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5182-015
WI
Other
Enumeration date
05/18/2007
Last updated
07/19/2024
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