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NPI Profile for MARK BRODHAGEN DDS SC in GREEN BAY, WI.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1164500591 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/02/2006 | |
| Last updated | 11/16/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MARK BRODHAGEN DDS SC
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MARK BRODHAGEN DDS SC