Organization
SOUTHWEST DENTAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C FISHER DDS (OWNER)
(608) 935-7700
Entity
Organization
Contact information
Practice address
1208 JOSEPH STREET, DODGEVILLE, WI 53533
(608) 935-7700
Mailing address
1208 JOSEPH STREET, DODGEVILLE, WI 53533
(608) 935-7700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4191
WI
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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