| Abcom Family Dental Care | |
|
5402 Mineral Point Rd Madison WI 53705-4659 | |
| (608) 231-2863 | |
| (608) 231-2974 |
| Full Name | Abcom Family Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5402 Mineral Point Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Robert C Bruckner (OWNER/DENTIST) |
| Authorized Official Contact | 6082312863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abcom Family Dental Care 5402 Mineral Point Rd Madison WI 53705-4659 Ph: (608) 231-2863 | Abcom Family Dental Care 5402 Mineral Point Rd Madison WI 53705-4659 Ph: (608) 231-2863 |
| NPI Number | 1114210481 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 05/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114210481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5001006015 (Wisconsin) | Primary |
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