| Lakeshore Dental Sc | |
|
4725 Plank Road Manitowoc WI 54220 | |
| (920) 682-7881 | |
| (920) 682-8690 |
| Full Name | Lakeshore Dental Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4725 Plank Road, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Michael Owen Orchekowski (PARTNER OWNER) |
| Authorized Official Contact | 9206827881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Dental Sc 4725 Plank Road Manitowoc WI 54220 Ph: (920) 682-7881 | Lakeshore Dental Sc 4725 Plank Road Manitowoc WI 54220 Ph: (920) 682-7881 |
| NPI Number | 1134289044 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134289044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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