| Between The Lakes Sleep And Airway Center | |
|
1250 Teckla Pl Kiel WI 53042-9623 | |
| (920) 894-2305 | |
| Not Available |
| Full Name | Between The Lakes Sleep And Airway Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1250 Teckla Pl, Kiel, Wisconsin |
| Authorized Official Name and Position | Constance Annie Wallander (DENTIST) |
| Authorized Official Contact | 9207403427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Between The Lakes Sleep And Airway Center 961 River Meadow Dr Kiel WI 53042-4851 Ph: (920) 740-3427 | Between The Lakes Sleep And Airway Center 1250 Teckla Pl Kiel WI 53042-9623 Ph: (920) 894-2305 |
| NPI Number | 1720777519 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 06/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720777519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Kiel Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Fremont St, Kiel, WI 53042 Phone: 920-898-2305 Fax: 920-894-3048 |