| NPI | 1902297690 |
|---|---|
| Doing Business As | MADISON PROSTHODONTICS: AESTHETIC AND RECONSTRUCTIVE DENTISTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | CRAMIN PETER WILTZ Sole Member 256-319-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AL 5928) |
| Additional Taxonomies | 292200000X Dental Laboratory (Licence: AL 233720-00) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |