| Pine View Dental, Llc | |
|
1415 W Mason St Green Bay WI 54303-2120 | |
| (920) 499-9131 | |
| Not Available |
| Full Name | Pine View Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1415 W Mason St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Chris J Hansen (OWNER) |
| Authorized Official Contact | 9204999131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine View Dental, Llc 1415 W Mason St Green Bay WI 54303-2120 Ph: (920) 499-9131 | Pine View Dental, Llc 1415 W Mason St Green Bay WI 54303-2120 Ph: (920) 499-9131 |
| NPI Number | 1215164777 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 06/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215164777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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