Lake Country Dentistry, L.l.c.
NPI #1487868493 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1487868493
- Entity Type
- Organization
- Organization Name
- Lake Country Dentistry, L.l.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 175 E WISCONSIN AVE
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-3057
- Phone
- (262) 567-6003
Authorized Official
- Name
- MR. JAMES JON COTEY
- Title
- GENERAL MANAGER
- Phone
- (262) 567-6003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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