| Monona Riverplace Dental, Llc | |
|
604 River Pl Monona WI 53716-4034 | |
| (608) 222-9142 | |
| (608) 226-8818 |
| Full Name | Monona Riverplace Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 604 River Pl, Monona, Wisconsin |
| Authorized Official Name and Position | Craig A. Aswegan (DENTIST) |
| Authorized Official Contact | 6082229142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monona Riverplace Dental, Llc 604 River Pl Monona WI 53716-4034 Ph: (608) 222-9142 | Monona Riverplace Dental, Llc 604 River Pl Monona WI 53716-4034 Ph: (608) 222-9142 |
| NPI Number | 1821264300 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821264300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 973G (Wisconsin) | Primary |
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