Organization
LAKESHORE FAMILY DENTAL CARE SC
Active
Other names
Edward J Oshiro DDS Mary J Panyk Oshiro DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J OSHIRO DDS (DENTIST)
(262) 639-1272
Entity
Organization
Contact information
Practice address
3903 DOUGLAS AVE, RACINE, WI 53402
(262) 639-1272
Mailing address
PO BOX 044290, RACINE, WI 53404
(262) 639-1272
(262) 639-8870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3520
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33487600
EDS TITLE 19
—
Enumeration date
04/03/2007
Last updated
08/22/2020
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