| Monona Dental Ii, Llc | |
|
502 River Pl Monona WI 53716-4033 | |
| (608) 222-9146 | |
| (608) 222-8164 |
| Full Name | Monona Dental Ii, Llc |
|---|---|
| Speciality | Dentist |
| Location | 502 River Pl, Monona, Wisconsin |
| Authorized Official Name and Position | Kathryn M Giswold (OWNER) |
| Authorized Official Contact | 6082229146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monona Dental Ii, Llc 502 River Pl Monona WI 53716-4033 Ph: (608) 222-9146 | Monona Dental Ii, Llc 502 River Pl Monona WI 53716-4033 Ph: (608) 222-9146 |
| NPI Number | 1033542949 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 08/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033542949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5253-15 (Wisconsin) | Primary |
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