Cgr Dental, Sc | |
4706 Cottage Grove Rd Ste. 400 Madison WI 53716-1323 | |
(608) 268-1700 | |
Not Available |
Full Name | Cgr Dental, Sc |
---|---|
Speciality | Clinic/center - Dental |
Location | 4706 Cottage Grove Rd, Madison, Wisconsin |
Authorized Official Name and Position | Edward Stepanenkov (PRESIDENT) |
Authorized Official Contact | 6083352030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cgr Dental, Sc 4706 Cottage Grove Rd Ste. 400 Madison WI 53716-1323 Ph: () - | Cgr Dental, Sc 4706 Cottage Grove Rd Ste. 400 Madison WI 53716-1323 Ph: (608) 268-1700 |
NPI Number | 1003171281 |
---|---|
Provider Enumeration Date | 07/12/2012 |
Last Update Date | 07/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003171281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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