| Westside Dental | |
|
1460 W Main St Sun Prairie WI 53590-1846 | |
| (608) 837-4636 | |
| Not Available |
| Full Name | Westside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1460 W Main St, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | William C Mauthe (OWNER) |
| Authorized Official Contact | 9209211244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Dental 54 E 1st St Fond Du Lac WI 54935-4204 Ph: (608) 837-4636 | Westside Dental 1460 W Main St Sun Prairie WI 53590-1846 Ph: (608) 837-4636 |
| NPI Number | 1417330945 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417330945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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