Prairie Lakes Dental
NPI #1609298595 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1609298595
- Entity Type
- Organization
- Organization Name
- Prairie Lakes Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 10, 2014
- Last Updated
- Jan 10, 2014
Practice Location
- Address
- 2804 PRAIRIE LAKES DRIVE
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590
- Phone
- (608) 825-3333
Authorized Official
- Name
- ADAM FORSTER
- Title
- PRESIDENT OWNER DOCTOR
- Phone
- (920) 623-5559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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