Organization
PRAIRIE LAKES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM FORSTER (PRESIDENT OWNER DOCTOR)
(920) 623-5559
Entity
Organization
Contact information
Practice address
2804 PRAIRIE LAKES DRIVE, SUN PRAIRIE, WI 53590
(608) 825-3333
(608) 825-3444
Mailing address
2804 PRAIRIE LAKES DRIVE, SUN PRAIRIE, WI 53590
(608) 825-3333
(608) 825-3444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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