| Children's Dental Center Of Madison, S.c. | |
|
7001 Old Sauk Road #200 Madison WI 53717 | |
| (608) 833-6545 | |
| (608) 833-8516 |
| Full Name | Children's Dental Center Of Madison, S.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7001 Old Sauk Road, Madison, Wisconsin |
| Authorized Official Name and Position | Timothy R Kinzel (VICE-PRESIDENT) |
| Authorized Official Contact | 6088336545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Center Of Madison, S.c. 7001 Old Sauk Road #200 Madison WI 53717 Ph: (608) 833-6545 | Children's Dental Center Of Madison, S.c. 7001 Old Sauk Road #200 Madison WI 53717 Ph: (608) 833-6545 |
| NPI Number | 1417169160 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417169160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | WI3347 (Wisconsin) | Primary |
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