LAKELAND FAMILY DENTAL, LLC

OCONOMOWOC, WI
NPI1518418243
Entity TypeOrganization
Authorized ContactSAMANTHA JEAN RUIZ
Owner
262-705-9076
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  6544-15)
Enumeration Date2016-10-18
Last Update Date2016-10-18
Business Address
LAKELAND FAMILY DENTAL, LLC
1300 N SUMMIT AVE SUITE 101
OCONOMOWOC, WI 53066-4467
Phone number: 262-567-1323
Mailing Address
LAKELAND FAMILY DENTAL, LLC
910 OCONOMOWOC PKWY
OCONOMOWOC, WI 53066-4615
Phone number: