| Lake Mills Family Dental Llc | |
|
140 E Lake St Lake Mills WI 53551-1659 | |
| (920) 648-8254 | |
| (920) 648-3655 |
| Full Name | Lake Mills Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 140 E Lake St, Lake Mills, Wisconsin |
| Authorized Official Name and Position | Joseph H Boysen (OWNER/SOLE MEMBER/DENTIST) |
| Authorized Official Contact | 6082131667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Mills Family Dental Llc 140 E Lake St Lake Mills WI 53551-1659 Ph: (920) 648-8254 | Lake Mills Family Dental Llc 140 E Lake St Lake Mills WI 53551-1659 Ph: (920) 648-8254 |
| NPI Number | 1851750442 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851750442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dental Associates Of Lake Mills, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-2331 Fax: 920-648-3437 | |
Oral Health Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 N Main St, Lake Mills, WI 53551 Phone: 920-648-2327 |