Lakeshore Family Dental Center Fox Point Llc | |
6878 N Santa Monica Blvd Fox Point WI 53217-3965 | |
(414) 247-1990 | |
Not Available |
Full Name | Lakeshore Family Dental Center Fox Point Llc |
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Speciality | Dentist |
Location | 6878 N Santa Monica Blvd, Fox Point, Wisconsin |
Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
Authorized Official Contact | 7274242990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeshore Family Dental Center Fox Point Llc 6878 N Santa Monica Blvd Fox Point WI 53217-3965 Ph: (414) 247-1990 | Lakeshore Family Dental Center Fox Point Llc 6878 N Santa Monica Blvd Fox Point WI 53217-3965 Ph: (414) 247-1990 |
NPI Number | 1902689185 |
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Provider Enumeration Date | 08/14/2023 |
Last Update Date | 08/14/2023 |
Identifier | Type | State | Issuer |
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1902689185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |