Madison Modern Dentistry, INC
NPI #1992592406 in Fair Oaks, California
Provider Information
- NPI Number
- 1992592406
- Entity Type
- Organization
- Organization Name
- Madison Modern Dentistry, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 5315 SUNRISE BLVD
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628-3539
- Phone
- (916) 514-5575
Authorized Official
- Name
- COLLEEN CONLON
- Title
- OWNER
- Phone
- (714) 845-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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