Sun Prairie Family Dentistry LLC
NPI #1730726555 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1730726555
- Entity Type
- Organization
- Organization Name
- Sun Prairie Family Dentistry LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 1, 2019
- Last Updated
- Dec 1, 2019
Practice Location
- Address
- 180 WILBURN RD
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-1476
- Phone
- (608) 833-2213
Authorized Official
- Name
- OLGA GRENOVA
- Title
- DIR OF ACCOUNTING
- Phone
- (608) 833-2213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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