Madison Family Dental Associates

NPI #1306838396 in Madison, Wisconsin

Provider Information

NPI Number: 1306838396
Entity Type: Organization
Organization Name: Madison Family Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 17, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 5709 ODANA RD
City: Madison
State: Wisconsin
ZIP Code: 53719-1238
Phone: (608) 274-5970

Authorized Official

Name: MARY L REINSMOEN
Title: ADMINISTRATOR
Phone: (608) 274-5970

Specialties & Taxonomy Codes

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

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