Westside Dental | |
1460 W Main St Sun Prairie WI 53590-1846 | |
(608) 837-4636 | |
Not Available |
Full Name | Westside Dental |
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Speciality | Dentist - General Practice |
Location | 1460 W Main St, Sun Prairie, Wisconsin |
Authorized Official Name and Position | Robert J Ziino (OWNER) |
Authorized Official Contact | 6088374636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Westside Dental 1460 W Main St Sun Prairie WI 53590-1846 Ph: (608) 837-4636 | Westside Dental 1460 W Main St Sun Prairie WI 53590-1846 Ph: (608) 837-4636 |
NPI Number | 1558507731 |
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Provider Enumeration Date | 12/18/2008 |
Last Update Date | 12/18/2008 |
Identifier | Type | State | Issuer |
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1558507731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1836 (Wisconsin) | Primary |
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