Organization
COMPLETE FAMILY DENTISTRY OF MADISON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C KNUTSON D.D.S. (OWNER)
(608) 222-3403
Entity
Organization
Contact information
Practice address
4925 MONONA DR, MONONA, WI 53716-2634
(608) 222-3403
(608) 222-4043
Mailing address
4925 MONONA DR, MONONA, WI 53716-2634
(608) 222-3403
(608) 222-4043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1537-015
WI
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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