| East Grove Dental Sc | |
|
826 Atlas Ave Madison WI 53714-3114 | |
| (608) 222-8344 | |
| (608) 222-8376 |
| Full Name | East Grove Dental Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 826 Atlas Ave, Madison, Wisconsin |
| Authorized Official Name and Position | Sandra L Lysloff (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 6082228344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Grove Dental Sc 826 Atlas Ave Madison WI 53714-3114 Ph: (608) 222-8344 | East Grove Dental Sc 826 Atlas Ave Madison WI 53714-3114 Ph: (608) 222-8344 |
| NPI Number | 1023073178 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023073178 | NPI | - | NPPES |
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