NPI | 1992217053 |
---|---|
Doing Business As | GREAT DAY DENTAL MONONA |
Doing Business As | GREAT DAY DENTAL OF EAST MADISON |
Entity Type | Organization |
Authorized Contact | JESSICA KIECKER Owner 608-241-1579 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 6337) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: WI 50015111) |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2017-10-30 |
Last Update Date | 2023-07-12 |