Organization
413 DENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLI LEIST DDS (OWNER/DENTIST)
(920) 246-3688
Entity
Organization
Contact information
Practice address
2121 S WEBSTER AVE STE 2, GREEN BAY, WI 54301-2290
(920) 246-3688
Mailing address
2121 S WEBSTER AVE STE 2, GREEN BAY, WI 54301-2290
(920) 544-0119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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