RAYMOND MATTHEW MADDOX

SUN PRAIRIE, WI
NPI1205139821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12011570A)
Enumeration Date2010-12-21
Last Update Date2012-11-01
Business Address
-- RAYMOND MATTHEW MADDOX DDS
1270 W MAIN ST
SUN PRAIRIE, WI 53590-1930
Phone number: 608-825-7100
Mailing Address
-- RAYMOND MATTHEW MADDOX DDS
1270 W MAIN ST
SUN PRAIRIE, WI 53590
Phone number: 317-432-4753