Individual
DR. MICHAEL DAVID MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6132 CAROLINA BEACH RD STE 6, WILMINGTON, NC 28412-2759
(910) 392-9101
Mailing address
813 COOSAW PL, WILMINGTON, NC 28412
(913) 940-0775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13381
NC
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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