| Youngquist Kennedy Orthodontics, Ltd. | |
|
255 Havenwood Dr Lake Geneva WI 53147-1917 | |
| (262) 248-0101 | |
| (262) 248-2941 |
| Full Name | Youngquist Kennedy Orthodontics, Ltd. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 255 Havenwood Dr, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Robert R. Youngquist (PRESIDENT) |
| Authorized Official Contact | 2622480101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youngquist Kennedy Orthodontics, Ltd. 255 Havenwood Dr Lake Geneva WI 53147-1917 Ph: (262) 248-0101 | Youngquist Kennedy Orthodontics, Ltd. 255 Havenwood Dr Lake Geneva WI 53147-1917 Ph: (262) 248-0101 |
| NPI Number | 1346339595 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 09/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346339595 | NPI | - | NPPES |
| 33395900 | Medicaid | WI |
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