Organization
WISCONSIN DENTAL PARTNERS, LLC
Active
Other names
The Country Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW T FABIAN (MANAGER)
(608) 712-6320
Entity
Organization
Contact information
Practice address
340 MAIN ST, DARLINGTON, WI 53530-1426
(608) 776-2620
(608) 776-3988
Mailing address
6907 UNIVERSITY AVE, SUITE 405, MIDDLETON, WI 53562-2767
(608) 712-6320
(608) 338-0681
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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