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Lifetime Dental, Llc
Dental Clinic/Center in Superior, Wisconsin
NPI 1487345922

Lifetime Dental, Llc is a Dental Clinic/Center based in Superior, WI and is specialized in Dental. Lifetime Dental, Llc practices in Superior, WI. The NPI Number for Lifetime Dental, Llc is 1487345922 and holds a License No. (Wisconsin).

The current practice location address for Lifetime Dental, Llc is 1507 Tower Ave Ste 202, Superior, WI and can be reached out via phone at 715-394-3683 and via fax at 715-394-7315.

Location: 1507 Tower Ave Ste 202, Superior, WI, 54880-2554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487345922
Provider Name
Lifetime Dental, Llc
Credential
Provider Entity Type
Organization
Address
1507 Tower Ave Ste 202, Superior, WI, 54880-2554
Phone Number
715-394-3683
Fax Number
715-394-7315
Provider Enumeration Date
05/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1507 Tower Ave Ste 202
City
Superior
State
Wisconsin
Zip
54880-2554
Phone Number
715-394-3683
Fax Number
715-394-7315
person
Provider Business Mailing Address Details
Address
1507 Tower Ave Ste 202
City
Superior
State
Wisconsin
Zip
54880-2554
Phone Number
715-394-3683
Fax Number
715-394-7315
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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