Generations Family Dental Care-Random Lake, LLC
Generations Family Dental Care-Random Lake, LLC is a General Practice Dentistry in Random Lake, Wisconsin. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
37 Hickory DrRandom Lake, WI 53075-1675
Phone: (920) 994-4367
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1407387483 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fred Lacourt — Manager · (414) 258-2117 |
| NPI enumerated | March 22, 2017 |
| Last updated in NPPES | March 22, 2017 |
| Mailing address | 2505 N Mayfair Rd, Suite 103, Wauwatosa, WI 53226-1404 |
Other providers in Random Lake
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Gerald Linus Vogler, DDS
37 Hickory Dr, Random Lake, WI 53075-0472 · (920) 994-4367