Prairie Lakes Dental | |
2804 Prairie Lakes Drive Sun Prairie WI 53590 | |
(608) 825-3333 | |
(608) 825-3444 |
Full Name | Prairie Lakes Dental |
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Speciality | Dentist - General Practice |
Location | 2804 Prairie Lakes Drive, Sun Prairie, Wisconsin |
Authorized Official Name and Position | Adam Forster (PRESIDENT OWNER DOCTOR) |
Authorized Official Contact | 9206235559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairie Lakes Dental 2804 Prairie Lakes Drive Sun Prairie WI 53590 Ph: (608) 825-3333 | Prairie Lakes Dental 2804 Prairie Lakes Drive Sun Prairie WI 53590 Ph: (608) 825-3333 |
NPI Number | 1609298595 |
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Provider Enumeration Date | 01/10/2014 |
Last Update Date | 01/10/2014 |
Identifier | Type | State | Issuer |
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1609298595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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