Organization
GENERATIONS FAMILY DENTAL CARE MENOMONEE FALLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED A. LA COURT D.D.S. (DENTIST)
(414) 258-2117
Entity
Organization
Contact information
Practice address
N48 W14170 HAMPTON AVE., MENOMONEE FALLS, WI 53051
(262) 781-8416
(262) 781-9268
Mailing address
N48 W14170 HAMPTON AVE., MENOMONEE FALLS, WI 53051
(262) 781-8416
(262) 781-9268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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