Dental Implants & Periodontal Specialist

NPI #1548008022 in Madison, Wisconsin

Provider Information

NPI Number
1548008022
Entity Type
Organization
Organization Name
Dental Implants & Periodontal Specialist
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jul 18, 2024
Last Updated
Jul 18, 2024

Practice Location

Address
6601 MINERAL POINT RD
ZIP Code
53705-4239
Phone
(608) 841-1600

Authorized Official

Name
MRS. STELLA MARIE HULSE-CRISTOFORO
Title
CFO
Phone
(516) 835-6777

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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