DR. Blair David Moldenhauer, DMD
NPI #1568786655 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1568786655
- Entity Type
- Individual
- Name
- DR. Blair David Moldenhauer, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Mar 18, 2010
- Last Updated
- Mar 18, 2010
Practice Location
- Address
- 238 W MAIN ST
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-2908
- Phone
- (608) 318-2119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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