Echo Ridge Dental Clinic

NPI 1063622645 - Dentist - 1223G0001X

NPI Details
NPI 1063622645
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAYMOND L RAYMOND
Position OWNER-DENTIST
Phone (920) 494-7464
Fax (920) 494-7919
Practice Location
2140 S. RIDGE RD.
GREEN BAY WI, 54304, US
Phone (920) 494-7464
Fax (920) 494-7919
Business Location
2140 S. RIDGE RD.
GREEN BAY WI, 54304, US
Phone (920) 494-7464
Fax (920) 494-7919
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1063622645 NPI Number
 

According to our database, Echo Ridge Dental Clinic NPI is 1063622645, taxonomy code is 1223G0001X Echo Ridge Dental Clinic physically located at 2140 S. Ridge Rd., Green Bay WI, 54304. NPI Number 1033115704 has the healthcare provider type.

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1063622645 NPI number is provided on an as is basis without warranty of any kind. 1063622645 is maintained by the National Plan & Provider Enumeration System. The contents of Echo Ridge Dental Clinic are for informational purposes only.