Lake Geneva Dental Care, LLC

NPI #1326473927 in Beloit, Wisconsin

Provider Information

NPI Number
1326473927
Entity Type
Organization
Organization Name
Lake Geneva Dental Care, LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Sep 13, 2013
Last Updated
Sep 13, 2013

Practice Location

Address
1454 E HUEBBE PKWY
City
Beloit
ZIP Code
53511-1714
Phone
(608) 362-0672

Authorized Official

Name
DR. LAWRENCE GROH, DDS
Title
OWNER/PRESIDENT
Phone
(630) 833-5110

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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