Organization
ARTISAN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ANDERSEN DDS (MANAGER)
(608) 467-8022
Entity
Organization
Contact information
Practice address
10 N LIVINGSTON ST, SUITE 301, MADISON, WI 53703-2326
(608) 467-8022
Mailing address
10 N LIVINGSTON ST, SUITE 301, MADISON, WI 53703-2326
(608) 467-8022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5045
WI
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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