| Charles E. Montoure, Dds, Ms Mark H Hanson, Dds, Ms, Sc | |
|
2000 Shady Lane Green Bay WI 54313-9311 | |
| (920) 499-3721 | |
| (920) 499-7502 |
| Full Name | Charles E. Montoure, Dds, Ms Mark H Hanson, Dds, Ms, Sc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2000 Shady Lane, Green Bay, Wisconsin |
| Authorized Official Name and Position | Charles E Montoure (PRESIDENT OF CORP) |
| Authorized Official Contact | 9204993721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E. Montoure, Dds, Ms Mark H Hanson, Dds, Ms, Sc 2000 Shady Lane Green Bay WI 54313-9311 Ph: (920) 499-3721 | Charles E. Montoure, Dds, Ms Mark H Hanson, Dds, Ms, Sc 2000 Shady Lane Green Bay WI 54313-9311 Ph: (920) 499-3721 |
| NPI Number | 1194926527 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194926527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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