Between the Lakes Sleep and Airway Center LLC

NPI #1720777519 in Kiel, Wisconsin

Provider Information

NPI Number
1720777519
Entity Type
Organization
Organization Name
Between the Lakes Sleep and Airway Center LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 5, 2023
Last Updated
Jun 25, 2023

Practice Location

Address
1250 TECKLA PL
City
Kiel
ZIP Code
53042-9623
Phone
(920) 894-2305

Authorized Official

Name
DR. CONSTANCE ANNIE WALLANDER, DMD
Title
DENTIST
Phone
(920) 740-3427

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Dentist - General PracticeGeneral Practice

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