Individual
DR. BEN LONSDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9547 LAKEVIEW DRIVE #200, MINOCQUA, WI 54548
(715) 356-7330
Mailing address
7845 LAKE CUNARD CAMPGROUND RD, LAKE TOMAHAWK, WI 54539-9377
(715) 614-0770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001849-15
WI
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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