| Willow Cove Dental, Llc | |
|
1195 W Mason St Green Bay WI 54303-2045 | |
| (920) 235-3251 | |
| Not Available |
| Full Name | Willow Cove Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1195 W Mason St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Wyn Steckbauer (OWNER) |
| Authorized Official Contact | 9202353251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Cove Dental, Llc 2300 Witzel Ave Oshkosh WI 54904-1700 Ph: (920) 235-3251 | Willow Cove Dental, Llc 1195 W Mason St Green Bay WI 54303-2045 Ph: (920) 235-3251 |
| NPI Number | 1801305271 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801305271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5396-15 (Wisconsin) | Primary |
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