ROBERT YOUNGQUIST

LAKE GENEVA, WI
NPI1538551304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI  2191)
Enumeration Date2015-03-03
Last Update Date2015-03-03
Business Address
-- ROBERT YOUNGQUIST
255 HAVENWOOD DR
LAKE GENEVA, WI 53147-1988
Phone number: 262-248-0101
Mailing Address
-- ROBERT YOUNGQUIST
255 HAVENWOOD DR
LAKE GENEVA, WI 53147-1988
Phone number: 262-248-0101
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