LAKE COUNTRY DENTISTRY, L.L.C.

OCONOMOWOC, WI
NPI1487868493
Entity TypeOrganization
Authorized ContactJAMES JON COTEY
General Manager
262-567-6003
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2007-05-09
Last Update Date2020-08-22
Business Address
LAKE COUNTRY DENTISTRY, L.L.C.
175 E WISCONSIN AVE
OCONOMOWOC, WI 53066-3057
Phone number: 262-567-6003
Mailing Address
LAKE COUNTRY DENTISTRY, L.L.C.
175 E WISCONSIN AVE
OCONOMOWOC, WI 53066-3057
Phone number: 262-567-6003
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