| Thousand Oaks Dentistry | |
|
390 S. Grand Ave Suite#110 Sun Prairie WI 53590 | |
| (608) 237-1920 | |
| Not Available |
| Full Name | Thousand Oaks Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 390 S. Grand Ave, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Vivienne Zhang (OWNER) |
| Authorized Official Contact | 6082371920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thousand Oaks Dentistry 390 S. Grand Ave Suite#110 Sun Prairie WI 53590 Ph: () - | Thousand Oaks Dentistry 390 S. Grand Ave Suite#110 Sun Prairie WI 53590 Ph: (608) 237-1920 |
| NPI Number | 1154837433 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154837433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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