| Dental Implants & Periodontal Specialist | |
|
6601 Mineral Point Rd Madison WI 53705-4239 | |
| (608) 841-1600 | |
| (608) 841-1602 |
| Full Name | Dental Implants & Periodontal Specialist |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6601 Mineral Point Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Stella Marie Hulse-cristoforo (CFO) |
| Authorized Official Contact | 5168356777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Implants & Periodontal Specialist 6601 Mineral Point Rd Madison WI 53705-4239 Ph: (608) 841-1600 | Dental Implants & Periodontal Specialist 6601 Mineral Point Rd Madison WI 53705-4239 Ph: (608) 841-1600 |
| NPI Number | 1548008022 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548008022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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