North Lake Family Dentistry

NPI #1366840456 in Hartland, Wisconsin

Provider Information

NPI Number: 1366840456
Entity Type: Organization
Organization Name: North Lake Family Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 5, 2014
Last Updated: Dec 5, 2014

Practice Location

Address: W315N7641 HWY 83
City: Hartland
State: Wisconsin
ZIP Code: 53029-9759
Phone: (262) 966-7668

Authorized Official

Name: DR. PATTY R ERICKSON, DDS
Title: OWNER
Phone: (262) 966-7668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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