Westside Dental

NPI 1558507731 - Dentist - 1223G0001X

NPI Details
NPI 1558507731
Enumeration Date 12/18/2008
Last Updated 12/18/2008
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROBERT J ROBERT
Position OWNER
Phone (608) 837-4636
Fax
Practice Location
1460 W MAIN ST
SUN PRAIRIE WI, 53590-1846, US
Phone (608) 837-4636
Fax
Business Location
1460 W MAIN ST
SUN PRAIRIE WI, 53590-1846, US
Phone (608) 837-4636
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 1836
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According to our database, Westside Dental NPI is 1558507731, taxonomy code is 1223G0001X and license number is 1836, license state is located at Wisconsin. Westside Dental physically located at 1460 W Main St, Sun Prairie WI, 53590-1846. NPI Number 1033115704 has the healthcare provider type.

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1558507731 NPI number is provided on an as is basis without warranty of any kind. 1558507731 is maintained by the National Plan & Provider Enumeration System. The contents of Westside Dental are for informational purposes only.