BAYLAKES CENTER FOR COMPLEX DENTISTRY SC NPI 1083705495

NPI Information

BAYLAKES CENTER FOR COMPLEX DENTISTRY SC is a prosthodontics dentist in Green Bay, WI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. BAYLAKES CENTER FOR COMPLEX DENTISTRY SC NPI is 1083705495. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

138 SIEGLER ST
GREEN BAY, WI
ZIP 54303
Phone: (920) 499-9958
Fax: (920) 499-1492

The provider's authorized official is Joseph William Lasnoski .
The authorized official title is President Prosthodontist and has the following contact phone number (920) 499-9958.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 4/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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