Random Lake Dentistry, Inc
Random Lake Dentistry, Inc is a Dental Clinic/Center in Random Lake, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- Inc — Incorporated
- 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
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1982421046 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hooman Abdolisereshki — Owner · (920) 892-8466 |
| NPI enumerated | September 20, 2024 |
| Last updated in NPPES | September 20, 2024 |
| Certification date | September 20, 2024 |
| Mailing address | 62 S Pleasant View Rd, Plymouth, WI 53073-4954 |