Organization
LAKE BREEZE DENTAL, LLC
Active
Parent organization
THE PEARL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PEARL GROUP, LLC
Authorized official
DR. ADAM PASONO DDS (DENTIST/OWNER)
(920) 639-1215
Entity
Organization
Contact information
Practice address
3712 KADOW ST, MANITOWOC, WI 54220-5450
(920) 684-8033
Mailing address
379 CLERMONT CT, DE PERE, WI 54115-4075
(920) 639-1215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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