Lakeland Family Dental, Llc | |
1300 N Summit Ave Suite 101 Oconomowoc WI 53066-4467 | |
(262) 567-1323 | |
Not Available |
Full Name | Lakeland Family Dental, Llc |
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Speciality | Dentist |
Location | 1300 N Summit Ave, Oconomowoc, Wisconsin |
Authorized Official Name and Position | Samantha Jean Ruiz (OWNER) |
Authorized Official Contact | 2627059076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeland Family Dental, Llc 910 Oconomowoc Pkwy Oconomowoc WI 53066-4615 Ph: () - | Lakeland Family Dental, Llc 1300 N Summit Ave Suite 101 Oconomowoc WI 53066-4467 Ph: (262) 567-1323 |
NPI Number | 1518418243 |
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Provider Enumeration Date | 10/18/2016 |
Last Update Date | 10/18/2016 |
Identifier | Type | State | Issuer |
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1518418243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 6544-15 (Wisconsin) | Primary |
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Drs. Leaman, Setnicar & Piacsek Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Summit Ave, Oconomowoc, WI 53066 Phone: 312-800-1270 | |
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