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1417476458
MADISON DENTAL LLC
MADISON, WI
NPI
1417476458
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Entity Type
Organization
Authorized Contact
KELLY BARES
Owner
309-369-3284
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
MADISON DENTAL LLC
2110 FORDEM AVE
MADISON, WI 53704-4610
Phone number: 608-244-9124
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Mailing Address
MADISON DENTAL LLC
2110 FORDEM AVE
MADISON, WI 53704-4610
Phone number:
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