MI DENTISTA LLC

MADISON, WI
NPI1891192415
Entity TypeOrganization
Authorized ContactMATTHEW KUTZ
Owner
608-658-4600
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5729-015)
Enumeration Date2014-11-25
Last Update Date2014-11-25
Business Address
MI DENTISTA LLC
4801 COTTAGE GROVE RD STE D
MADISON, WI 53716-1349
Phone number: 608-658-4600
Mailing Address
MI DENTISTA LLC
4801 COTTAGE GROVE RD STE D
MADISON, WI 53716-1349
Phone number: 608-658-4600
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