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Organization
LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD
Active
Organization
LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM OZMENT D.D.S. (PRESIDENT)
(262) 248-8766
Entity
Organization
Contact information
Practice address
312 CENTER ST, LAKE GENEVA, WI 53147-1904
(262) 248-8766
(262) 248-6790
Mailing address
312 CENTER ST, LAKE GENEVA, WI 53147-1904
(262) 248-8766
(262) 248-6790
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
WI
Other
Enumeration date
08/03/2006
Last updated
07/21/2022
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