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1518418243
LAKELAND FAMILY DENTAL, LLC
OCONOMOWOC, WI
NPI
1518418243
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Entity Type
Organization
Authorized Contact
SAMANTHA JEAN RUIZ
Owner
262-705-9076
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 6544-15)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
LAKELAND FAMILY DENTAL, LLC
1300 N SUMMIT AVE SUITE 101
OCONOMOWOC, WI 53066-4467
Phone number: 262-567-1323
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Mailing Address
LAKELAND FAMILY DENTAL, LLC
910 OCONOMOWOC PKWY
OCONOMOWOC, WI 53066-4615
Phone number:
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