Monroe Street Family Dental, LLC

NPI #1184959405 in Madison, Wisconsin

Provider Information

NPI Number: 1184959405
Entity Type: Organization
Organization Name: Monroe Street Family Dental, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 4, 2009
Last Updated: Oct 4, 2009

Practice Location

Address: 2702 MONROE ST
City: Madison
State: Wisconsin
ZIP Code: 53711-1888
Phone: (608) 204-0222

Authorized Official

Name: BENJAMIN JOSEPH FARROW, D.D.S
Title: MEMBER
Phone: (608) 204-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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