Organization
WESTSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J ZIINO D.D.S. (OWNER)
(608) 837-4636
Entity
Organization
Contact information
Practice address
1460 W MAIN ST, SUN PRAIRIE, WI 53590-1846
(608) 837-4636
Mailing address
1460 W MAIN ST, SUN PRAIRIE, WI 53590-1846
(608) 837-4636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1836
WI
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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