Organization
OREGON DENTAL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL WEILAND (ASSISTANT CONTROLLER)
(608) 343-0818
Entity
Organization
Contact information
Practice address
600 PLEASANT OAK DR, OREGON, WI 53575-3648
(608) 835-3388
Mailing address
8025 EXCELSIOR DR, MADISON, WI 53717-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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