Madison Dental Clinic Pllc | |
622 W 3rd St Madison MN 56256-1326 | |
(320) 598-7433 | |
(320) 598-7770 |
Full Name | Madison Dental Clinic Pllc |
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Speciality | Clinic/center - Dental |
Location | 622 W 3rd St, Madison, Minnesota |
Authorized Official Name and Position | Ariel Lee Stone (OFFICE MANAGER) |
Authorized Official Contact | 3205987433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Madison Dental Clinic Pllc 622 W 3rd St Madison MN 56256-1326 Ph: (320) 598-7433 | Madison Dental Clinic Pllc 622 W 3rd St Madison MN 56256-1326 Ph: (320) 598-7433 |
NPI Number | 1568238509 |
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Provider Enumeration Date | 11/30/2023 |
Last Update Date | 11/30/2023 |
Identifier | Type | State | Issuer |
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1568238509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |