Organization
AMENITY DENTAL CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A SHAVLIK D.D.S (DENTIST)
(920) 437-8017
Entity
Organization
Contact information
Practice address
2121 S WEBSTER AVE, SUITE 3, GREEN BAY, WI 54301-2290
(920) 437-8017
Mailing address
2121 S WEBSTER AVE, SUITE 3, GREEN BAY, WI 54301-2290
(920) 437-8017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4569-015
WI
Other
Enumeration date
03/15/2007
Last updated
06/13/2008
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