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North Lake Family Dentistry
Dental Clinic/Center in Hartland, Wisconsin
NPI 1366840456

North Lake Family Dentistry is a Dental Clinic/Center based in Hartland, WI and is specialized in Dental. North Lake Family Dentistry practices in Hartland, WI. The NPI Number for North Lake Family Dentistry is 1366840456 and holds a License No. 6346 (Wisconsin).

The current practice location address for North Lake Family Dentistry is W315N7641 Hwy 83, Hartland, WI and can be reached out via phone at 262-966-7668.

Location: W315N7641 Hwy 83, Hartland, WI, 53029-9759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366840456
Provider Name
North Lake Family Dentistry
Credential
Provider Entity Type
Organization
Address
W315N7641 Hwy 83, Hartland, WI, 53029-9759
Phone Number
262-966-7668
Fax Number
Provider Enumeration Date
12/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982723920 01 WI NPI
institution
Provider Business Practice Location Address Details
Address
W315N7641 Hwy 83
City
Hartland
State
Wisconsin
Zip
53029-9759
Phone Number
262-966-7668
Fax Number
person
Provider Business Mailing Address Details
Address
W315N7641 Hwy 83
City
Hartland
State
Wisconsin
Zip
53029-9759
Phone Number
262-966-7668
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
6346 (Wisconsin)
Definition
Definition to come...
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