Mark Brodhagen DDS SC
Mark Brodhagen DDS SC is a General Practice Dentistry in Green Bay, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1052 Bel Aire CtGreen Bay, WI 54304
Phone: (920) 499-2121
Fax: (920) 499-7644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1164500591 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Brodhagen — Owner · (920) 499-2121 |
| NPI enumerated | November 2, 2006 |
| Last updated in NPPES | November 16, 2016 |
| Mailing address | 1052 Bel Aire Court, Green Bay, WI 54304 |
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