Lifetime Family Dental Care LLC
NPI #1477190296 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1477190296
- Entity Type
- Organization
- Organization Name
- Lifetime Family Dental Care LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 1, 2019
- Last Updated
- Dec 1, 2019
Practice Location
- Address
- 822 S HASTINGS WAY
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-3426
- Phone
- (608) 833-2213
Authorized Official
- Name
- OLGA GRENOVA
- Title
- DIR OF ACCOUNTING
- Phone
- (608) 833-2213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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