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Organization

DHA ORTHODONTICS SOUTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN J SKIBBA DDS (PRIVACY OFFICAL)
(608) 246-2555
Entity
Organization

Contact information

Practice address
2971 CHAPEL VALLEY RD, ADMINISTRATION OFFICE, FITCHBURG, WI 53711-7420
(608) 661-6432
(608) 661-6437
Mailing address
2971 CHAPEL VALLEY RD, ADMINISTRATION OFFICE, FITCHBURG, WI 53711-7420
(608) 661-6432
(608) 661-6437

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
07/09/2006
Last updated
08/22/2020
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