| Generations Family Dental Care Menomonee Falls, LLC | |
|
N48 W14170 Hampton Ave. Menomonee Falls WI 53051 | |
| (262) 781-8416 | |
| (262) 781-9268 |
| Full Name | Generations Family Dental Care Menomonee Falls, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | N48 W14170 Hampton Ave., Menomonee Falls, Wisconsin |
| Authorized Official Name and Position | Fred A. La Court (DENTIST) |
| Authorized Official Contact | 4142582117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Family Dental Care Menomonee Falls, LLC N48 W14170 Hampton Ave. Menomonee Falls WI 53051 Ph: (262) 781-8416 | Generations Family Dental Care Menomonee Falls, LLC N48 W14170 Hampton Ave. Menomonee Falls WI 53051 Ph: (262) 781-8416 |
| NPI Number | 1386027548 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386027548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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