Grenfell, Gina Rae

Grenfell, Gina Rae is an individual health care provider with primary practice located at 30 N 18Th Ave # 1 , Sturgeon Bay WI 54235-3207. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Grenfell, Gina Rae can be contacted via phone (920) 743-6976.

Contact Information

Primary practice address
30 N 18Th Ave # 1 Sturgeon Bay WI 54235-3207
Phone: (920) 743-6976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6892-15 Wisconsin

Profile Details

NPI number 1942568787
LBN Legal business name Grenfell, Gina Rae
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2012
Last updated Jul 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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