No Fear Dentistry Madison West LLC
Dentist in Madison, WI. Organization (NPI-2).
NPI number1003687203
StatusActive
Last updated in NPPESJan 16, 2024
Details
- NPI
- 1003687203
- Entity type
- Organization (NPI-2)
- Legal business name
- No Fear Dentistry Madison West LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 16, 2024
- Last updated
- Jan 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- No Fear Dentistry (Doing Business As)
Practice location
344 S Yellowstone DrMadison, WI 53705
Phone 608-836-5700 · Fax 608-836-4621
Mailing address
344 S Yellowstone DrMadison, WI 53705
Phone 608-836-5700 · Fax 608-836-4621
Authorized official
David Scott Ducommun
President/Owner
6084441419
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