| NPI | 1548804560 |
|---|---|
| Former Legal Business Name | THE DENTAL HAUS OF MONROE LLC |
| Entity Type | Organization |
| Authorized Contact | LAURA HIBBARD Dentist/Partner 608-325-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |