Organization
GREAT DAY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA KIECKER DMD (OWNER)
(608) 221-3326
Entity
Organization
Contact information
Practice address
1532 W BROADWAY STE 101, MONONA, WI 53713-1827
(608) 221-3326
(608) 221-9726
Mailing address
1532 W BROADWAY STE 101, MONONA, WI 53713-1827
(608) 221-3326
(608) 221-9726
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6337
WI
Other
Enumeration date
10/27/2017
Last updated
07/12/2023
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