Mark Vande Walle, DDS
NPI 1083749774 · on the registry since 2007
Practice
- Address
- 1711 Shawano Ave
Green Bay, WI 54303 - Phone
- (920) 494-9541
- Organisation at this address
- Dental Arts Associates Of Green Bay Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin