Organization · Type 2 NPI
Upper Lakes Dental, LLC
Dental Clinic/Center · Winneconne, WI
NPI number
1124580352
Active
Practice location
908 E Main St Ste C
Winneconne, WI 54986-9672
Mailing address
PO Box 369
Winneconne, WI 54986-0369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Winneconne
About NPI 1124580352
Upper Lakes Dental, LLC's National Provider Identifier is 1124580352, issued on Apr 5, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Winneconne, WI. The record was last updated on Apr 5, 2019.