| Great Day Dental Llc | |
|
1532 W Broadway Ste 101 Monona WI 53713-1827 | |
| (608) 221-3326 | |
| (608) 221-9726 |
| Full Name | Great Day Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1532 W Broadway Ste 101, Monona, Wisconsin |
| Authorized Official Name and Position | Jessica Kiecker (OWNER) |
| Authorized Official Contact | 6082213326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Day Dental Llc 1532 W Broadway Ste 101 Monona WI 53713-1827 Ph: (608) 221-3326 | Great Day Dental Llc 1532 W Broadway Ste 101 Monona WI 53713-1827 Ph: (608) 221-3326 |
| NPI Number | 1740792969 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740792969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6337 (Wisconsin) | Primary |
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