LAKE BREEZE DENTAL, LLC

MANITOWOC, WI
NPI1811871197
Entity TypeOrganization
Authorized ContactADAM PASONO
Dentist/Owner
920-639-1215
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2025-08-01
Last Update Date2025-08-01
Business Address
LAKE BREEZE DENTAL, LLC
3712 KADOW ST
MANITOWOC, WI 54220-5450
Phone number: 920-684-8033
Mailing Address
LAKE BREEZE DENTAL, LLC
379 CLERMONT CT
DE PERE, WI 54115-4075
Phone number: 920-639-1215
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