Lake Dental Group
Lake Dental Group is a Dentist in Racine, Wisconsin. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
400 Lake AveRacine, WI 53403-1020
Phone: (262) 633-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1922314210 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lilly Poole — Office Manager · (262) 633-0775 |
| NPI enumerated | August 24, 2010 |
| Last updated in NPPES | August 24, 2010 |
| Mailing address | 400 Lake Ave, Racine, WI 53403-1020 |
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