Affiliated Dentist SC
Affiliated Dentist SC is a General Practice Dentistry in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
5601 Odana RdMadison, WI 53719-1207
Phone: (608) 274-9077
Fax: (608) 274-9103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5002053 (WI) |
|---|
Record details
| NPI number | 1477663045 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Busby — President · (608) 274-9077 |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5601 Odana Rd, Madison, WI 53719-1207 |
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