Summit Dental Excellence

NPI #1073971149 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1073971149
Entity Type: Organization
Organization Name: Summit Dental Excellence
Primary Specialty: Dentist
Enumeration Date: Feb 4, 2016
Last Updated: Mar 14, 2016

Practice Location

Address: 850 SUMMIT AVE STOP 1
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-3920
Phone: (262) 567-0470

Authorized Official

Name: DR. MATTHEW L LEHMAN, DDS
Title: OWNER DENTIST
Phone: (262) 567-0470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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