| Matc Dental Hygiene Clinic | |
|
211 N Carroll St Madison WI 53703-2211 | |
| (608) 258-2400 | |
| Not Available |
| Full Name | Matc Dental Hygiene Clinic |
|---|---|
| Speciality | Dental Hygienist |
| Location | 211 N Carroll St, Madison, Wisconsin |
| Authorized Official Name and Position | E. Lynn Goetsch (CLINIC SUPERVISOR) |
| Authorized Official Contact | 6082582470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matc Dental Hygiene Clinic 211 N Carroll St Madison WI 53703-2211 Ph: (608) 258-2400 | Matc Dental Hygiene Clinic 211 N Carroll St Madison WI 53703-2211 Ph: (608) 258-2400 |
| NPI Number | 1881842672 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881842672 | NPI | - | NPPES |
| 38382500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |
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