LAKE DENTAL GROUP

RACINE, WI
NPI1922314210
Entity TypeOrganization
Authorized ContactLILLY POOLE
Office Manager
262-633-0775
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2010-08-24
Last Update Date2010-08-24
Business Address
LAKE DENTAL GROUP
400 LAKE AVE
RACINE, WI 53403-1020
Phone number: 262-633-0775
Mailing Address
LAKE DENTAL GROUP
400 LAKE AVE
RACINE, WI 53403-1020
Phone number: 262-633-0775
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