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Dr. Ulrich Lake, DDS
Pediatric Dentist in Madison, Wisconsin
NPI 1821187683

Ulrich Lake is a Pediatric Dentist based in Madison, WI and is specialized in Pediatric Dentistry. Ulrich Lake practices in Madison, WI and has the professional credentials of DDS. The NPI Number for Ulrich Lake is 1821187683 and holds a License No. 4288015 (Wisconsin).

The current practice location address for Ulrich Lake is 100 River Place, Madison, WI and can be reached out via phone at 608-222-6160 and via fax at 608-222-6248. You can also correspond with Ulrich Lake through the mailing address at 100 RIVER PLACE, MADISON, WI - 53716 (mailing address contact number: 608-222-6160).

Location: 100 River Place, Madison, WI, 53716
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Provider Profile Details
NPI Number
1821187683
Provider Name
Ulrich Lake
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
100 River Place, Madison, WI, 53716
Phone Number
608-222-6160
Fax Number
608-222-6248
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33762600 05 WI
institution
Provider Business Practice Location Address Details
Address
100 River Place
City
State
Zip
53716
Phone Number
608-222-6160
Fax Number
608-222-6248
person
Provider Business Mailing Address Details
Address
100 River Place
City
State
Zip
53716
Phone Number
608-222-6160
Fax Number
608-222-6248
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4288015 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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