Organization
MAPLE GROVE DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CARL TAUSCHEK DDS (OWNER/PRESIDENT)
(608) 848-5680
Entity
Organization
Contact information
Practice address
6627 MCKEE RD, MADISON, WI 53719-5023
(608) 848-5680
(608) 848-5681
Mailing address
6627 MCKEE RD, MADISON, WI 53719-5023
(608) 848-5680
(608) 848-5681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30018639
OH
122300000X
Dentist
Primary
WI3998
WI
Other
Enumeration date
08/18/2005
Last updated
01/26/2011
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