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Perio-Dental Implants, LLC

NPI #1669864542 in Middleton, Wisconsin

Provider Information

NPI Number
1669864542
Entity Type
Organization
Organization Name
Perio-Dental Implants, LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Mar 2, 2015
Last Updated
Mar 2, 2015

Practice Location

Address
6301 UNIVERSITY AVE
City
Middleton
State
Wisconsin
ZIP Code
53562-3415
Phone
(608) 709-1240

Authorized Official

Name
MR. ANDREW THOMAS FABIAN
Title
MANAGER
Phone
(608) 712-6320

Specialties & Taxonomy Codes

Specialty
Dentist - Periodontics — Periodontics

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