Organization
UHD LLC
Active
Other names
University Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIBERTY BOUCHER DDS (SOLE MEMBER)
(608) 287-8648
Entity
Organization
Contact information
Practice address
3541 UNIVERSITY AVE, MADISON, WI 53705-2140
(608) 238-8228
Mailing address
1132 UNIVERSITY BAY DR, MADISON, WI 53705-2252
(608) 287-8648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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