Lifetime Family Dentistry of Two Rivers
NPI #1972892214 in Two Rivers, Wisconsin
Provider Information
- NPI Number
- 1972892214
- Entity Type
- Organization
- Organization Name
- Lifetime Family Dentistry of Two Rivers
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 6, 2011
- Last Updated
- Apr 6, 2011
Practice Location
- Address
- 1509 19TH ST
- City
- Two Rivers
- State
- Wisconsin
- ZIP Code
- 54241-2628
- Phone
- (920) 794-8947
Authorized Official
- Name
- MR. TIMOTHY BUCK
- Title
- OWNER
- Phone
- (608) 220-1168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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