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Organization

SUNRIDGE DENTAL LLC

Active
Other names
Jill M Carter, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL M CARTER D.D.S. (OWNER)
(920) 468-8085
Entity
Organization

Contact information

Practice address
2926 FINGER RD, GREEN BAY, WI 54311-7548
(920) 468-8085
Mailing address
2926 FINGER RD, GREEN BAY, WI 54311-7548
(920) 468-8085

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6367
WI

Other

Enumeration date
05/04/2015
Last updated
05/04/2015
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