UPPER LAKES DENTAL, LLC is a dental clinic center in Winneconne, WI. UPPER LAKES DENTAL, LLC NPI is 1124580352. The provider is registered as an organization entity type.
The provider's business location address is:
908 E MAIN ST STE C
WINNECONNE, WI
ZIP 54986-672
Phone: (920) 582-0688
The provider's authorized official is Ryan Gonzalez .
The authorized official title is Owner and has the following contact phone number (920) 582-0688.
The enumeration date for this NPI number is 4/5/2019 and was last updated on 4/5/2019.