| Mi Dentista Llc | |
|
4801 Cottage Grove Rd Ste D Madison WI 53716-1349 | |
| (608) 658-4600 | |
| Not Available |
| Full Name | Mi Dentista Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4801 Cottage Grove Rd Ste D, Madison, Wisconsin |
| Authorized Official Name and Position | Matthew Kutz (OWNER) |
| Authorized Official Contact | 6086584600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Dentista Llc 4801 Cottage Grove Rd Ste D Madison WI 53716-1349 Ph: (608) 658-4600 | Mi Dentista Llc 4801 Cottage Grove Rd Ste D Madison WI 53716-1349 Ph: (608) 658-4600 |
| NPI Number | 1891192415 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891192415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5729-015 (Wisconsin) | Primary |
Cgr Dental, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Cottage Grove Rd, Ste. 400, Madison, WI 53716 Phone: 608-268-1700 | |
No Fear Dentistry Madison West Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 S Yellowstone Dr, Madison, WI 53705 Phone: 608-836-5700 Fax: 608-836-4621 | |
Dha Orthodontics West Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7007 Old Sauk Rd, Suite 101, Madison, WI 53717 Phone: 608-833-6112 Fax: 608-661-6437 | |
Bright Dental And Implants Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Cottage Grove Rd, Madison, WI 53716 Phone: 888-866-3470 | |
East Grove Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 Atlas Ave, Madison, WI 53714 Phone: 608-222-8344 Fax: 608-222-8376 | |
Advanced Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1734 Thierer Rd, Madison, WI 53704 Phone: 608-244-6888 | |
Dentistryone Of Wisonsin Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6709 Raymond Rd, Madison, WI 53719 Phone: 877-712-7875 |