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1679809974
EASTPARK DENTAL LLC
MADISON, WI
NPI
1679809974
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Entity Type
Organization
Authorized Contact
KARL WEAVER
Dentist
608-222-8232
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WI 4943)
Enumeration Date
2009-10-22
Last Update Date
2009-10-22
Business Address
EASTPARK DENTAL LLC
5100 EASTPARK BLVD SUITE 110
MADISON, WI 53718-2149
Phone number: 608-222-8232
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Mailing Address
EASTPARK DENTAL LLC
5100 EASTPARK BLVD SUITE 110
MADISON, WI 53718-2149
Phone number: 608-222-8232
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