| Madison Prosthodontics Llc | |
|
5510 Medical Cir Suite A Madison WI 53719-1239 | |
| (608) 358-3370 | |
| Not Available |
| Full Name | Madison Prosthodontics Llc |
|---|---|
| Speciality | Dentist |
| Location | 5510 Medical Cir, Madison, Wisconsin |
| Authorized Official Name and Position | Genevieve Poppe (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6083583370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Prosthodontics Llc 5510 Medical Cir Suite A Madison WI 53719-1239 Ph: () - | Madison Prosthodontics Llc 5510 Medical Cir Suite A Madison WI 53719-1239 Ph: (608) 358-3370 |
| NPI Number | 1346551256 |
|---|---|
| Provider Enumeration Date | 06/24/2010 |
| Last Update Date | 06/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346551256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3233-015 (Wisconsin) | Primary |
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