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Organization
LAKE MILLS FAMILY DENTAL LLC
Active
Organization
LAKE MILLS FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H BOYSEN D.M.D. (OWNER/SOLE MEMBER/DENTIST)
(608) 213-1667
Entity
Organization
Contact information
Practice address
140 E LAKE ST, LAKE MILLS, WI 53551-1659
(920) 648-8254
(920) 648-3655
Mailing address
140 E LAKE ST, LAKE MILLS, WI 53551-1659
(920) 648-8254
(920) 648-3655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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