Organization
PROSTHETIC DENTAL ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CORRELL (PRESIDENT)
(608) 231-2502
Entity
Organization
Contact information
Practice address
2725 MARSHALL CT, MADISON, WI 53705-2288
(608) 231-2502
(608) 231-2949
Mailing address
4320 COUNTY ROAD P, CROSS PLAINS, WI 53528-9188
(608) 231-2502
(608) 231-2949
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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