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1184279028
LAKE PARK DENTAL LLC
MILWAUKEE, WI
NPI
1184279028
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Entity Type
Organization
Authorized Contact
MEGAN E GRAHAM
Owner
414-963-9440
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
LAKE PARK DENTAL LLC
2524 E WEBSTER PL STE 201
MILWAUKEE, WI 53211-4257
Phone number: 414-963-9440
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Mailing Address
LAKE PARK DENTAL LLC
2524 E WEBSTER PL STE 201
MILWAUKEE, WI 53211-4257
Phone number: 414-963-9440
Copy
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