Baylakes Center for Complex Dentistry Sc

NPI #1083705495 in Green Bay, Wisconsin

Provider Information

NPI Number
1083705495
Entity Type
Organization
Organization Name
Baylakes Center for Complex Dentistry Sc
Primary Specialty
Dentist
Enumeration Date
Sep 28, 2006
Last Updated
Apr 22, 2014

Practice Location

Address
138 SIEGLER ST
ZIP Code
54303
Phone
(920) 499-9958

Authorized Official

Name
DR. JOSEPH WILLIAM LASNOSKI, DDS MS
Title
PRESIDENT PROSTHODONTIST
Phone
(920) 499-9958

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - ProsthodonticsProsthodontics

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