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Individual

DR. KENNETH DONALD NEIDHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2705 MARSHALL CT, MADISON, WI 53705-2255
(608) 233-9167
(608) 233-9342
Mailing address
2705 MARSHALL COURT, MADISON, WI 53705
(608) 592-2088

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5001291-015
WI

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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