Maple Grove Dental Sc

NPI #1134111974 in Madison, Wisconsin

Provider Information

NPI Number: 1134111974
Entity Type: Organization
Organization Name: Maple Grove Dental Sc
Primary Specialty: Dentist
Enumeration Date: Aug 18, 2005
Last Updated: Jan 26, 2011

Practice Location

Address: 6627 MCKEE RD
City: Madison
State: Wisconsin
ZIP Code: 53719-5023
Phone: (608) 848-5680

Authorized Official

Name: DR. JAMES CARL TAUSCHEK, DDS
Title: OWNER/PRESIDENT
Phone: (608) 848-5680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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