Individual
DR. ALLEN J SKIBBA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
49 N WALBRIDGE AVE, MADISON, WI 53714-3506
(608) 246-2555
Mailing address
311 BONNIE RD, COTTAGE GROVE, WI 53527-9682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4469-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33751700
—
WI
Enumeration date
06/07/2006
Last updated
07/09/2007
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