| NPI | 1205955036 |
|---|---|
| Doing Business As | JANESVILLE PEDIATRIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | GREGG R DICKINSON President 608-756-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |