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1003171281
CGR DENTAL, SC
MADISON, WI
NPI
1003171281
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Entity Type
Organization
Authorized Contact
EDWARD STEPANENKOV
President
608-335-2030
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
CGR DENTAL, SC
4706 COTTAGE GROVE RD STE. 400
MADISON, WI 53716-1323
Phone number: 608-268-1700
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Mailing Address
CGR DENTAL, SC
4706 COTTAGE GROVE RD STE. 400
MADISON, WI 53716-1323
Phone number:
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