| Pediatric Dental Specialists Of Madison Llc | |
|
49 N Walbridge Ave Madison WI 53714 | |
| (608) 246-2555 | |
| (608) 246-3687 |
| Full Name | Pediatric Dental Specialists Of Madison Llc |
|---|---|
| Speciality | Dentist |
| Location | 49 N Walbridge Ave, Madison, Wisconsin |
| Authorized Official Name and Position | Jan K Streich (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6086616412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists Of Madison Llc 2971 Chapel Valley Rd Fitchburg WI 53711 Ph: (608) 661-6400 | Pediatric Dental Specialists Of Madison Llc 49 N Walbridge Ave Madison WI 53714 Ph: (608) 246-2555 |
| NPI Number | 1437310604 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437310604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5488 (Wisconsin) | Primary |
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