| Provider Type: | Dental Providers |
| Provider Classification: | Dentist |
| Provider Specialization: | General Practice |
| Definition of Specialization: | |
| Address: |
1241 Lombardi Access Rd Green Bay, WI 54304-4059 |
| Phone: | (920) 498-9088 |
| Fax: | (920) 498-2146 |
| Gender: | Male |
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