Dental Associates of Lake Mills, Inc.

NPI #1629224852 in Lake Mills, Wisconsin

Provider Information

NPI Number
1629224852
Entity Type
Organization
Organization Name
Dental Associates of Lake Mills, Inc.
Primary Specialty
Dentist
Enumeration Date
Aug 7, 2008
Last Updated
Aug 7, 2008

Practice Location

Address
311 E TYRANENA PARK RD
ZIP Code
53551-9681
Phone
(920) 648-2331

Authorized Official

Name
DIANE M. SCHLEICHER
Title
OFFICE ADMINISTRATOR
Phone
(920) 648-2331

Specialties & Taxonomy Codes

Specialty
Dentist

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