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Erin Dawn Kallsen
Pediatric Dentist in Green Bay, Wisconsin
NPI 1245935428

Erin Dawn Kallsen is a Pediatric Dentist based in Green Bay, WI and is specialized in Pediatric Dentistry. Erin Dawn Kallsen practices in Green Bay, WI. The NPI Number for Erin Dawn Kallsen is 1245935428 and holds a License No. (Wisconsin).

The current practice location address for Erin Dawn Kallsen is 125 Siegler St, Green Bay, WI and can be reached out via phone at 920-592-8940.

Location: 125 Siegler St, Green Bay, WI, 54303-2635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245935428
Provider Name
Erin Dawn Kallsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 Siegler St, Green Bay, WI, 54303-2635
Phone Number
920-592-8940
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Siegler St
City
Green Bay
State
Wisconsin
Zip
54303-2635
Phone Number
920-592-8940
Fax Number
person
Provider Business Mailing Address Details
Address
125 Siegler St
City
Green Bay
State
Wisconsin
Zip
54303-2635
Phone Number
920-592-8940
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
6001153-15 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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