Organization
EAST PARK DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL WEAVER (DDS)
(608) 222-8232
Entity
Organization
Contact information
Practice address
5100 EASTPARK BLVD, SUITE 110, MADISON, WI 53718
(608) 222-8232
Mailing address
5100 EASTPARK BLVD., SUITE 110, MADISON, WI 53718
(608) 222-8232
(608) 244-7442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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