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Children's Dental Clinic Of Green Bay, S.c.
Pediatric Dentist in De Pere, Wisconsin
NPI 1205905619

Children's Dental Clinic Of Green Bay, S.c. is a Pediatric Dentist based in De Pere, WI and is specialized in Pediatric Dentistry. Children's Dental Clinic Of Green Bay, S.c. practices in De Pere, WI. The NPI Number for Children's Dental Clinic Of Green Bay, S.c. is 1205905619 and holds a License No. 4176 (Wisconsin).

The current practice location address for Children's Dental Clinic Of Green Bay, S.c. is 534 Redbird Cir, De Pere, WI and can be reached out via phone at 920-336-4002 and via fax at 920-336-4112.

Location: 534 Redbird Cir, De Pere, WI, 54115-8785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205905619
Provider Name
Children's Dental Clinic Of Green Bay, S.c.
Credential
Provider Entity Type
Organization
Address
534 Redbird Cir, De Pere, WI, 54115-8785
Phone Number
920-336-4002
Fax Number
920-336-4112
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
534 Redbird Cir
City
De Pere
State
Wisconsin
Zip
54115-8785
Phone Number
920-336-4002
Fax Number
920-336-4112
person
Provider Business Mailing Address Details
Address
534 Redbird Cir
City
De Pere
State
Wisconsin
Zip
54115-8785
Phone Number
920-336-4002
Fax Number
920-336-4112
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4176 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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