| Vanderleest Dental Llc | |
|
2502 Lineville Rd Green Bay WI 54313-7123 | |
| (920) 434-3950 | |
| Not Available |
| Full Name | Vanderleest Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2502 Lineville Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Marcus J Vanderleest (OWNER) |
| Authorized Official Contact | 9204343950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanderleest Dental Llc 2502 Lineville Rd Green Bay WI 54313-7123 Ph: (920) 434-3950 | Vanderleest Dental Llc 2502 Lineville Rd Green Bay WI 54313-7123 Ph: (920) 434-3950 |
| NPI Number | 1194460162 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194460162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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