Algoma Lakeview Dental Care, S.c. | |
1223 Lake St Algoma WI 54201-1447 | |
(920) 487-5648 | |
(920) 487-5658 |
Full Name | Algoma Lakeview Dental Care, S.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1223 Lake St, Algoma, Wisconsin |
Authorized Official Name and Position | Rebecca H Prust (PRESIDENT) |
Authorized Official Contact | 9204875648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Algoma Lakeview Dental Care, S.c. 1223 Lake St Po Box 275 Algoma WI 54201-0275 Ph: (920) 487-5648 | Algoma Lakeview Dental Care, S.c. 1223 Lake St Algoma WI 54201-1447 Ph: (920) 487-5648 |
NPI Number | 1700130648 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 10/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700130648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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