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Great Blue Dental, Llc
Dental Clinic/Center in Marinette, Wisconsin
NPI 1720534159

Great Blue Dental, Llc is a Dental Clinic/Center based in Marinette, WI and is specialized in Dental. Great Blue Dental, Llc practices in Marinette, WI. The NPI Number for Great Blue Dental, Llc is 1720534159 and holds a License No. 5396-15 (Wisconsin).

The current practice location address for Great Blue Dental, Llc is 2005 Marinette Ave, Marinette, WI and can be reached out via phone at 715-732-2601.

Location: 2005 Marinette Ave, Marinette, WI, 54143-3864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720534159
Provider Name
Great Blue Dental, Llc
Credential
Provider Entity Type
Organization
Address
2005 Marinette Ave, Marinette, WI, 54143-3864
Phone Number
715-732-2601
Fax Number
Provider Enumeration Date
08/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2005 Marinette Ave
City
Marinette
State
Wisconsin
Zip
54143-3864
Phone Number
715-732-2601
Fax Number
person
Provider Business Mailing Address Details
Address
2005 Marinette Ave
City
Marinette
State
Wisconsin
Zip
54143-3864
Phone Number
715-732-2601
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
5396-15 (Wisconsin)
Definition
Definition to come...
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