Geneva Family Dentistry
NPI #1205900586 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1205900586
- Entity Type
- Organization
- Organization Name
- Geneva Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 851 PARK DR
- Address 2
- SUITE 101
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-4586
- Phone
- (262) 248-4991
Authorized Official
- Name
- GENIE KUBLE
- Title
- CONTACT OFFICER
- Phone
- (920) 450-0157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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