KENNETH DONALD NEIDHART

MADISON, WI
NPI1053400945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: WI  5001291-015)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Dr. KENNETH DONALD NEIDHART D.D.S.
2705 MARSHALL CT
MADISON, WI 53705-2255
Phone number: 608-233-9167
Mailing Address
Dr. KENNETH DONALD NEIDHART D.D.S.
2705 MARSHALL COURT
MADISON, WI 53705
Phone number: 608-592-2088