Organization
PRIME HEALTH DENTAL MADISON WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FRANCIS (DIRECTOR)
(480) 228-8428
Entity
Organization
Contact information
Practice address
706 S GAMMON RD, MADISON, WI 53719-1302
(608) 979-7770
Mailing address
14747 N NORTHSIGHT BLVD STE 111-311, SCOTTSDALE, AZ 85260-2631
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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