Lake Geneva Oral and Maxillofacial Surgery, Ltd

NPI #1063420206 in Lake Geneva, Wisconsin

Provider Information

NPI Number
1063420206
Entity Type
Organization
Organization Name
Lake Geneva Oral and Maxillofacial Surgery, Ltd
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Aug 3, 2006
Last Updated
Jul 21, 2022

Practice Location

Address
312 CENTER ST
ZIP Code
53147-1904
Phone
(262) 248-8766

Authorized Official

Name
ADAM OZMENT, D.D.S.
Title
PRESIDENT
Phone
(262) 248-8766

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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