Maple Grove Dental Sc

NPI 1134111974 - Dentist - 122300000X

NPI Details
NPI 1134111974
Enumeration Date 08/18/2005
Last Updated 01/26/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JAMES CARL JAMES
Position OWNER/PRESIDENT
Phone (608) 848-5680
Fax (608) 848-5681
Practice Location
6627 MCKEE RD
MADISON WI, 53719-5023, US
Phone (608) 848-5680
Fax (608) 848-5681
Business Location
6627 MCKEE RD
MADISON WI, 53719-5023, US
Phone (608) 848-5680
Fax (608) 848-5681
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 30018639
Remove 1134111974 NPI Number
 

According to our database, Maple Grove Dental Sc NPI is 1134111974, taxonomy code is 122300000X and license number is 30018639, license state is located at Ohio. Maple Grove Dental Sc physically located at 6627 Mckee Rd, Madison WI, 53719-5023. NPI Number 1033115704 has the healthcare provider type.

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1134111974 NPI number is provided on an as is basis without warranty of any kind. 1134111974 is maintained by the National Plan & Provider Enumeration System. The contents of Maple Grove Dental Sc are for informational purposes only.