| East Park Dental, Llc | |
|
5100 Eastpark Blvd Suite 110 Madison WI 53718 | |
| (608) 222-8232 | |
| Not Available |
| Full Name | East Park Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5100 Eastpark Blvd, Madison, Wisconsin |
| Authorized Official Name and Position | Karl Weaver (DDS) |
| Authorized Official Contact | 6082228232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Park Dental, Llc 5100 Eastpark Blvd. Suite 110 Madison WI 53718 Ph: (608) 222-8232 | East Park Dental, Llc 5100 Eastpark Blvd Suite 110 Madison WI 53718 Ph: (608) 222-8232 |
| NPI Number | 1508598202 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508598202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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