Individual
DR. REBECCA L VAN PAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2352 LINEVILLE RD, SUAMICO, WI 54313-8862
(920) 471-4988
Mailing address
2352 LINEVILLE RD STE 112, SUAMICO, WI 54313-8863
(920) 471-4988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6679-015
WI
Other
Enumeration date
07/19/2011
Last updated
02/07/2019
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