Organization
LAKESHORE DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OWEN ORCHEKOWSKI DDS (PARTNER OWNER)
(920) 682-7881
Entity
Organization
Contact information
Practice address
4725 PLANK ROAD, MANITOWOC, WI 54220
(920) 682-7881
(920) 682-8690
Mailing address
4725 PLANK ROAD, MANITOWOC, WI 54220
(920) 682-7881
(920) 682-8690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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