ALGOMA LAKEVIEW DENTAL CARE, S.C.

ALGOMA, WI
NPI1700130648
Entity TypeOrganization
Authorized ContactREBECCA H PRUST
President
920-487-5648
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2012-10-30
Last Update Date2012-10-30
Business Address
ALGOMA LAKEVIEW DENTAL CARE, S.C.
1223 LAKE ST
ALGOMA, WI 54201-1447
Phone number: 920-487-5648
Mailing Address
ALGOMA LAKEVIEW DENTAL CARE, S.C.
1223 LAKE ST PO BOX 275
ALGOMA, WI 54201-0275
Phone number: 920-487-5648
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