Organization
ISTHMUS DENTAL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE THIES (BUSINESS MANAGER)
(608) 257-0116
Entity
Organization
Contact information
Practice address
122 E JOHNSON ST, MADISON, WI 53703-2120
(608) 257-0116
Mailing address
122 E JOHNSON ST, MADISON, WI 53703-2120
(608) 257-0116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2469
WI
122300000X
Dentist
Primary
5551
WI
Other
Enumeration date
11/30/2006
Last updated
08/16/2021
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