Organization
LIFETIME DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE RAE LAHR (TREATMENT COORDINATOR)
(715) 394-3683
Entity
Organization
Contact information
Practice address
1507 TOWER AVE STE 202, SUPERIOR, WI 54880-2554
(715) 394-3683
(715) 394-7315
Mailing address
1507 TOWER AVE STE 202, SUPERIOR, WI 54880-2554
(715) 394-3683
(715) 394-7315
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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