| Cgr Dental, Sc | |
|
4706 Cottage Grove Rd Ste. 400 Madison WI 53716-1323 | |
| (608) 268-1700 | |
| Not Available |
| Full Name | Cgr Dental, Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4706 Cottage Grove Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Edward Stepanenkov (PRESIDENT) |
| Authorized Official Contact | 6083352030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cgr Dental, Sc 4706 Cottage Grove Rd Ste. 400 Madison WI 53716-1323 Ph: () - | Cgr Dental, Sc 4706 Cottage Grove Rd Ste. 400 Madison WI 53716-1323 Ph: (608) 268-1700 |
| NPI Number | 1003171281 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 07/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003171281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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