NPI | 1386185106 |
---|---|
Other Name | LAKE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MARGARET ABOAGYE CEO 262-633-6117 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 1629150289) |
Enumeration Date | 2017-03-13 |
Last Update Date | 2017-03-13 |