Uhd LLC

NPI #1174974588 in Madison, Wisconsin

Provider Information

NPI Number: 1174974588
Entity Type: Organization
Organization Name: Uhd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 27, 2016
Last Updated: Jun 27, 2016

Practice Location

Address: 3541 UNIVERSITY AVE
City: Madison
State: Wisconsin
ZIP Code: 53705-2140
Phone: (608) 238-8228

Authorized Official

Name: DR. LIBERTY BOUCHER, DDS
Title: SOLE MEMBER
Phone: (608) 287-8648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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