| West Madison Dental | |
|
5610 Medical Cir Ste 10 Madison WI 53719-1284 | |
| (608) 441-6004 | |
| (608) 238-6777 |
| Full Name | West Madison Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5610 Medical Cir Ste 10, Madison, Wisconsin |
| Authorized Official Name and Position | Sharon L Loso (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5635821448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Madison Dental 40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | West Madison Dental 5610 Medical Cir Ste 10 Madison WI 53719-1284 Ph: (608) 441-6004 |
| NPI Number | 1649824830 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649824830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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