Organization
WEST PRAIRIE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY LAUFENBERG (OFFICE MANAGER)
(608) 837-7842
Entity
Organization
Contact information
Practice address
2630 IRONWOOD DR, SUN PRAIRIE, WI 53590-8830
(608) 837-7842
(608) 318-8787
Mailing address
2630 IRONWOOD DR, SUN PRAIRIE, WI 53590-8830
(608) 837-7842
(608) 318-8787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/23/2025
Last updated
08/28/2025
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