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Lake Geneva Oral And Maxillofacial Surgery, Ltd
Oral and Maxillofacial Surgery (Dentist) in Lake Geneva, Wisconsin
NPI 1063420206

Lake Geneva Oral And Maxillofacial Surgery, Ltd is a Oral and Maxillofacial Surgery (Dentist) based in Lake Geneva, WI and is specialized in Oral and Maxillofacial Surgery. Lake Geneva Oral And Maxillofacial Surgery, Ltd practices in Lake Geneva, WI. The NPI Number for Lake Geneva Oral And Maxillofacial Surgery, Ltd is 1063420206 and holds a License No. (Wisconsin).

The current practice location address for Lake Geneva Oral And Maxillofacial Surgery, Ltd is 312 Center St, Lake Geneva, WI and can be reached out via phone at 262-248-8766 and via fax at 262-248-6790.

Location: 312 Center St, Lake Geneva, WI, 53147-1904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063420206
Provider Name
Lake Geneva Oral And Maxillofacial Surgery, Ltd
Credential
Provider Entity Type
Organization
Address
312 Center St, Lake Geneva, WI, 53147-1904
Phone Number
262-248-8766
Fax Number
262-248-6790
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
312 Center St
City
Lake Geneva
State
Wisconsin
Zip
53147-1904
Phone Number
262-248-8766
Fax Number
262-248-6790
person
Provider Business Mailing Address Details
Address
312 Center St
City
Lake Geneva
State
Wisconsin
Zip
53147-1904
Phone Number
262-248-8766
Fax Number
262-248-6790
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(Wisconsin)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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