| Eastpark Dental Llc | |
|
5100 Eastpark Blvd Suite 110 Madison WI 53718-2149 | |
| (608) 222-8232 | |
| (608) 222-8340 |
| Full Name | Eastpark Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5100 Eastpark Blvd, Madison, Wisconsin |
| Authorized Official Name and Position | Karl Weaver (DENTIST) |
| Authorized Official Contact | 6082228232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastpark Dental Llc 5100 Eastpark Blvd Suite 110 Madison WI 53718-2149 Ph: (608) 222-8232 | Eastpark Dental Llc 5100 Eastpark Blvd Suite 110 Madison WI 53718-2149 Ph: (608) 222-8232 |
| NPI Number | 1679809974 |
|---|---|
| Provider Enumeration Date | 10/22/2009 |
| Last Update Date | 10/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679809974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4943 (Wisconsin) | Primary |
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