Downtown Family Dental of West Bend, INC

NPI #1881755692 in West Bend, Wisconsin

Provider Information

NPI Number
1881755692
Entity Type
Organization
Organization Name
Downtown Family Dental of West Bend, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 13, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
309 N 7TH AVE
ZIP Code
53095-3242
Phone
(262) 338-1164

Authorized Official

Name
DR. LAWRENCE T. PORTER, DDS
Title
OWNER
Phone
(262) 338-1164

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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