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1053400945
KENNETH DONALD NEIDHART
MADISON, WI
NPI
1053400945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: WI 5001291-015)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. KENNETH DONALD NEIDHART D.D.S.
2705 MARSHALL CT
MADISON, WI 53705-2255
Phone number: 608-233-9167
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Mailing Address
Dr. KENNETH DONALD NEIDHART D.D.S.
2705 MARSHALL COURT
MADISON, WI 53705
Phone number: 608-592-2088
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