Individual
EDWARD STEPANENKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4706 COTTAGE GROVE RD, SUITE 400, MADISON, WI 53716-1323
(608) 268-1700
Mailing address
4706 COTTAGE GROVE RD, SUITE 400, MADISON, WI 53716-1323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5376
WI
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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