Individual
LUCY WANDA KOMOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1245 MAIN ST, GREEN BAY, WI 54302-1306
(920) 965-0831
Mailing address
1245 MAIN ST, GREEN BAY, WI 54302-1306
(920) 965-0831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00201803
CO
122300000X
Dentist
Primary
6002099-15
WI
1223P0221X
Pediatric Dentistry
Primary
00201803
CO
Other
Enumeration date
07/16/2012
Last updated
04/02/2026
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