| Geneva Family Dentistry | |
|
851 Park Dr Suite 101 Lake Geneva WI 53147-4586 | |
| (262) 248-4991 | |
| (262) 248-0397 |
| Full Name | Geneva Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 851 Park Dr, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Genie Kuble (CONTACT OFFICER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geneva Family Dentistry 851 Park Dr Suite 101 Lake Geneva WI 53147-4586 Ph: (262) 248-4991 | Geneva Family Dentistry 851 Park Dr Suite 101 Lake Geneva WI 53147-4586 Ph: (262) 248-4991 |
| NPI Number | 1205900586 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205900586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4060 (Wisconsin) | Primary |
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