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Upper Lakes Dental, Llc
Dental Clinic/Center in Winneconne, Wisconsin
NPI 1124580352

Upper Lakes Dental, Llc is a Dental Clinic/Center based in Winneconne, WI and is specialized in Dental. Upper Lakes Dental, Llc practices in Winneconne, WI. The NPI Number for Upper Lakes Dental, Llc is 1124580352 and holds a License No. (Wisconsin).

The current practice location address for Upper Lakes Dental, Llc is 908 E Main St Ste C, Winneconne, WI and can be reached out via phone at 920-582-0688.

Location: 908 E Main St Ste C, Winneconne, WI, 54986-0369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124580352
Provider Name
Upper Lakes Dental, Llc
Credential
Provider Entity Type
Organization
Address
908 E Main St Ste C, Winneconne, WI, 54986-0369
Phone Number
920-582-0688
Fax Number
Provider Enumeration Date
04/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
908 E Main St Ste C
City
Winneconne
State
Wisconsin
Zip
54986-9672
Phone Number
920-582-0688
Fax Number
person
Provider Business Mailing Address Details
Address
908 E Main St Ste C
City
Winneconne
State
Wisconsin
Zip
54986-9672
Phone Number
920-582-0688
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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