NPI 1083705495

Baylakes Center for Complex Dentistry Sc

Organisation Prosthodontics Green Bay, WI

Practice location

Address: 138 Siegler St, Green Bay, WI 54303
Phone: (920) 499-9958
Fax: (920) 499-1492

Authorised official

Name: Joseph William Lasnoski
Title: President Prosthodontist
Phone: (920) 499-9958

Registered specialties (3)

Prosthodontics Primary

Dental Providers Taxonomy 1223P0700X Licence 5001473015 (WI)

Other Dentist providers in Wisconsin →

Dentist

Dental Providers Taxonomy 122300000X Licence 2901015553 (MI)

Prosthodontics

Dental Providers Taxonomy 1223P0700X Licence 2901015553 (MI)

Registry record

NPI: 1083705495
Entity type: Organization
NPI issued: 28 Sep 2006
Record last updated: 22 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.