Organization · Type 2 NPI
Great Blue Dental, LLC
Dental Clinic/Center · Marinette, WI
NPI number
1720534159
Active
Practice location
2005 Marinette Ave
Marinette, WI 54143-3864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5396-15 (WI) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Marinette
About NPI 1720534159
Great Blue Dental, LLC's National Provider Identifier is 1720534159, issued on Aug 26, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Marinette, WI. The record was last updated on Aug 26, 2016.