Individual
MR. GEOFFREY R WARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7007 OLD SAUK RD, MADISON, WI 53717
(608) 833-2060
(608) 833-1737
Mailing address
5631 SANDHILL DR, MIDDLETON, WI 53562
(608) 821-0567
(608) 833-1737
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5079015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33753400
—
WI
Enumeration date
07/11/2006
Last updated
07/08/2007
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