LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD

LAKE GENEVA, WI
NPI1063420206
Entity TypeOrganization
Authorized ContactADAM OZMENT
President
262-248-8766
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2006-08-03
Last Update Date2022-07-21
Business Address
LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD
312 CENTER ST
LAKE GENEVA, WI 53147-1904
Phone number: 262-248-8766
Mailing Address
LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD
312 CENTER ST
LAKE GENEVA, WI 53147-1904
Phone number: 262-248-8766