Organization
ECHO RIDGE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SCHNEIDER III DDS (DENTIST/OWNER)
(920) 494-7464
Entity
Organization
Contact information
Practice address
2140 S RIDGE RD, GREEN BAY, WI 54304-4357
(920) 494-7464
Mailing address
2140 S RIDGE RD, GREEN BAY, WI 54304-4357
(920) 494-7464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1223G0001X
WI
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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