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Organization
CHILDREN'S DENTAL CENTER OF MADISON, S.C.
Active
Organization
CHILDREN'S DENTAL CENTER OF MADISON, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY R KINZEL DDS (VICE-PRESIDENT)
(608) 833-6545
Entity
Organization
Contact information
Practice address
7001 OLD SAUK ROAD, #200, MADISON, WI 53717
(608) 833-6545
(608) 833-8516
Mailing address
7001 OLD SAUK ROAD, #200, MADISON, WI 53717
(608) 833-6545
(608) 833-8516
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
WI3347
WI
Other
Enumeration date
05/04/2007
Last updated
06/24/2008
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