Mi Dentista LLC
Mi Dentista LLC is a General Practice Dentistry in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.
- Licensed in
- WI
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4801 Cottage Grove Rd Ste DMadison, WI 53716-1349
Phone: (608) 658-4600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5729-015 (WI) |
|---|
Record details
| NPI number | 1891192415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Kutz — Owner · (608) 658-4600 |
| NPI enumerated | November 25, 2014 |
| Last updated in NPPES | November 25, 2014 |
| Mailing address | 4801 Cottage Grove Rd Ste D, Madison, WI 53716-1349 |
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