Lmg, INC

NPI #1134235427 in Wauwatosa, Wisconsin

Provider Information

NPI Number
1134235427
Entity Type
Organization
Organization Name
Lmg, INC
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
Aug 21, 2006
Last Updated
Jan 19, 2017

Practice Location

Address
2626 N 76TH STREET
Address 2
SUITE 101
ZIP Code
53213-1137
Phone
(414) 476-9400

Authorized Official

Name
JAY L MACKMAN, D.D.S.
Title
OWNER-PRESIDENT
Phone
(414) 476-9400

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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