Cherry Tree Dental of Madison, LLC

NPI #1952640732 in Madison, Wisconsin

Provider Information

NPI Number: 1952640732
Entity Type: Organization
Organization Name: Cherry Tree Dental of Madison, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 13, 2013
Last Updated: Feb 13, 2013

Practice Location

Address: 8025 EXCELSIOR DR
City: Madison
State: Wisconsin
ZIP Code: 53717-1900
Phone: (608) 833-2212

Authorized Official

Name: JACK YOUNG
Title: PRESIDENT
Phone: (608) 833-2212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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