Individual
DONALD J LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4801 COTTAGE GROVE RD, MADISON, WI 53716-1349
(608) 222-7181
(608) 222-2078
Mailing address
4801 COTTAGE GROVE RD, MADISON, WI 53716-1349
(608) 222-7181
(608) 222-2078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000 254
WI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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