Lakeshore Family Dental Center Fox Point LLC

NPI #1902689185 in Fox Point, Wisconsin

Provider Information

NPI Number: 1902689185
Entity Type: Organization
Organization Name: Lakeshore Family Dental Center Fox Point LLC
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 6878 N SANTA MONICA BLVD
City: Fox Point
State: Wisconsin
ZIP Code: 53217-3965
Phone: (414) 247-1990

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 424-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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