Organization · Type 2 NPI
Lifetime Dental, LLC
Dental Clinic/Center · Superior, WI
NPI number
1487345922
Active
Practice location
1507 Tower Ave Ste 202
Superior, WI 54880-2554
Fax (715) 394-7315
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 Superior
About NPI 1487345922
Lifetime Dental, LLC's National Provider Identifier is 1487345922, issued on May 16, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Superior, WI. The record was last updated on May 16, 2023.