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Organization

STEVEN W SEGALL DDS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN WALTER SEGALL DDS MS (PRESIDENT)
(608) 222-4777
Entity
Organization

Contact information

Practice address
4002 MONONA DRIVE, MADISON, WI 53716-1138
(608) 222-4777
(608) 222-2532
Mailing address
4002 MONONA DRIVE, MADISON, WI 53716-1138
(608) 222-4777
(608) 222-2532

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5001279015
WI

Other

Enumeration date
11/07/2006
Last updated
08/18/2008
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