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Lake Country Dentistry, L.l.c.
Dental Clinic/Center in Oconomowoc, Wisconsin
NPI 1487868493

Lake Country Dentistry, L.l.c. is a Dental Clinic/Center based in Oconomowoc, WI and is specialized in Dental. Lake Country Dentistry, L.l.c. practices in Oconomowoc, WI. The NPI Number for Lake Country Dentistry, L.l.c. is 1487868493 and holds a License No. (Wisconsin).

The current practice location address for Lake Country Dentistry, L.l.c. is 175 E Wisconsin Ave, Oconomowoc, WI and can be reached out via phone at 262-567-6003 and via fax at 262-567-6018.

Location: 175 E Wisconsin Ave, Oconomowoc, WI, 53066-3057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487868493
Provider Name
Lake Country Dentistry, L.l.c.
Credential
Provider Entity Type
Organization
Address
175 E Wisconsin Ave, Oconomowoc, WI, 53066-3057
Phone Number
262-567-6003
Fax Number
262-567-6018
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
175 E Wisconsin Ave
City
Oconomowoc
State
Wisconsin
Zip
53066-3057
Phone Number
262-567-6003
Fax Number
262-567-6018
person
Provider Business Mailing Address Details
Address
175 E Wisconsin Ave
City
Oconomowoc
State
Wisconsin
Zip
53066-3057
Phone Number
262-567-6003
Fax Number
262-567-6018
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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