Organization · Type 2 NPI
Random Lake Dentistry, Inc
Dental Clinic/Center · Random Lake, WI
NPI number
1982421046
Active
Practice location
37 Hickory Dr
Random Lake, WI 53075-1675
Mailing address
62 S Pleasant View Rd
Plymouth, WI 53073-4954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1982421046
Random Lake Dentistry, Inc's National Provider Identifier is 1982421046, issued on Sep 20, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Random Lake, WI. The record was last updated on Sep 20, 2024.