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Organization

WARREN FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBB WARREN D.D.S. (OWNER)
(608) 241-7999
Entity
Organization

Contact information

Practice address
8309 GREENWAY BLVD., MADISON, WI 53562
(608) 824-0824
Mailing address
8309 GREENWAY BLVD., MADISON, WI 53562
(608) 824-0824

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5000477
WI
1223G0001X
General Practice Dentistry
Primary
5414
WI
1223G0001X
General Practice Dentistry
7110
WI

Other

Enumeration date
05/26/2015
Last updated
05/26/2015
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