| Hurst Candid Wisconsin, Service Corporation | |
|
345 W Washington Ave Madison WI 53703-2996 | |
| (860) 481-7631 | |
| Not Available |
| Full Name | Hurst Candid Wisconsin, Service Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 345 W Washington Ave, Madison, Wisconsin |
| Authorized Official Name and Position | Chester Lynn Hurst (DDS) |
| Authorized Official Contact | 8604817631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurst Candid Wisconsin, Service Corporation 345 W Washington Ave Madison WI 53703-2996 Ph: (860) 481-7631 | Hurst Candid Wisconsin, Service Corporation 345 W Washington Ave Madison WI 53703-2996 Ph: (860) 481-7631 |
| NPI Number | 1376150482 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376150482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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