Lake Geneva Dental Care LLC
NPI #1083732101 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1083732101
- Entity Type
- Organization
- Organization Name
- Lake Geneva Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 580 BROAD ST
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-1420
- Phone
- (262) 248-2773
Authorized Official
- Name
- DR. LAWRENCE GROH, D.D.S.
- Title
- OWNER
- Phone
- (630) 833-5110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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