UPPER LAKES DENTAL, LLC

WINNECONNE, WI
NPI1124580352
Entity TypeOrganization
Authorized ContactRYAN GONZALEZ
Owner
920-582-0688
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-04-05
Last Update Date2019-04-05
Business Address
UPPER LAKES DENTAL, LLC
908 E MAIN ST STE C
WINNECONNE, WI 54986-9672
Phone number: 920-582-0688
Mailing Address
UPPER LAKES DENTAL, LLC
PO BOX 369
WINNECONNE, WI 54986-0369
Phone number: 920-582-0688
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