Organization
262 FAMILY DENTAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BEHREND (OWNER)
(219) 477-8504
Entity
Organization
Contact information
Practice address
1672 OLD SCHOOL HOUSE ROAD, OCONOMOWOC, WI 53066
(262) 244-5220
Mailing address
2713 BURRIES RD, HARTLAND, WI 53029-9352
(219) 477-8504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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