Organization
OBOIKOVITZ DENTAL, SC
Active
Other names
Maple Grove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J OBOIKOVITZ DMD (PRESIDENT)
(715) 581-2788
Entity
Organization
Contact information
Practice address
6627 MCKEE RD, MADISON, WI 53719-5023
(608) 848-5680
Mailing address
822 ONEIDA PL, MADISON, WI 53711-2916
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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