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Organization

DHA ORTHODONTICS WEST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID T ALLEN DDS (PRIVACY OFFICIAL)
(608) 833-6112
Entity
Organization

Contact information

Practice address
7007 OLD SAUK RD, SUITE 101, MADISON, WI 53717-2307
(608) 833-6112
(608) 661-6437
Mailing address
7007 OLD SAUK RD, SUITE 101, MADISON, WI 53717-2307
(608) 833-6112
(608) 661-6437

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
07/09/2006
Last updated
12/05/2011
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