Baylakes Center for Complex Dentistry SC
Baylakes Center for Complex Dentistry SC is a Dentist in Green Bay, Wisconsin. Licensed in Michigan and Wisconsin. Registered with an NPI since 2006.
- Licensed in
- MI, WI
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
138 Siegler StGreen Bay, WI 54303
Phone: (920) 499-9958
Fax: (920) 499-1492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence 5001473015 (WI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 2901015553 (MI) |
| Prosthodontics | Taxonomy 1223P0700X · Licence 2901015553 (MI) |
Record details
| NPI number | 1083705495 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Lasnoski — President Prosthodontist · (920) 499-9958 |
| NPI enumerated | September 28, 2006 |
| Last updated in NPPES | April 22, 2014 |
| Mailing address | 138 Siegler St, Green Bay, WI 54303 |
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