| The Center For Periodontics And Dental Implants | |
|
6301 University Ave Middleton WI 53562-3415 | |
| (608) 709-1240 | |
| (608) 819-8395 |
| Full Name | The Center For Periodontics And Dental Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6301 University Ave, Middleton, Wisconsin |
| Authorized Official Name and Position | Andrew Thomas Fabian (MANAGER) |
| Authorized Official Contact | 6087126320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Periodontics And Dental Implants 6301 University Ave Middleton WI 53562-3415 Ph: (608) 709-1240 | The Center For Periodontics And Dental Implants 6301 University Ave Middleton WI 53562-3415 Ph: (608) 709-1240 |
| NPI Number | 1669864542 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669864542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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