Madison Street Dental LLC
NPI #1497260152 in Woodstock, Illinois
Provider Information
- NPI Number
- 1497260152
- Entity Type
- Organization
- Organization Name
- Madison Street Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 4, 2017
- Last Updated
- Dec 4, 2017
Practice Location
Authorized Official
- Name
- KRISTY WOLTER
- Title
- INSURANCE MANAGER
- Phone
- (630) 339-3172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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