Organization
MADISON PROSTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE POPPE (DIRECTOR OF OPERATIONS)
(608) 358-3370
Entity
Organization
Contact information
Practice address
5510 MEDICAL CIR, SUITE A, MADISON, WI 53719-1239
(608) 358-3370
Mailing address
5510 MEDICAL CIR, SUITE A, MADISON, WI 53719-1239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3233-015
WI
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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