| Baylakes Center For Complex Dentistry Sc | |
|
138 Siegler St Green Bay WI 54303 | |
| (920) 499-9958 | |
| (920) 499-1492 |
| Full Name | Baylakes Center For Complex Dentistry Sc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 138 Siegler St, Green Bay, Wisconsin |
| Authorized Official Name and Position | Joseph William Lasnoski (PRESIDENT PROSTHODONTIST) |
| Authorized Official Contact | 9204999958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baylakes Center For Complex Dentistry Sc 138 Siegler St Green Bay WI 54303 Ph: (920) 499-9958 | Baylakes Center For Complex Dentistry Sc 138 Siegler St Green Bay WI 54303 Ph: (920) 499-9958 |
| NPI Number | 1083705495 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083705495 | NPI | - | NPPES |
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