| Lifetime Dental, Llc | |
|
1507 Tower Ave Ste 202 Superior WI 54880-2554 | |
| (715) 394-3683 | |
| (715) 394-7315 |
| Full Name | Lifetime Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1507 Tower Ave Ste 202, Superior, Wisconsin |
| Authorized Official Name and Position | Danielle Rae Lahr (TREATMENT COORDINATOR) |
| Authorized Official Contact | 7153943683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental, Llc 1507 Tower Ave Ste 202 Superior WI 54880-2554 Ph: (715) 394-3683 | Lifetime Dental, Llc 1507 Tower Ave Ste 202 Superior WI 54880-2554 Ph: (715) 394-3683 |
| NPI Number | 1487345922 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487345922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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