Abcom Family Dental Care
Clinic/Center, Dental in Madison, WI. Organization (NPI-2).
NPI number1114210481
StatusActive
Last updated in NPPESMay 19, 2011
Details
- NPI
- 1114210481
- Entity type
- Organization (NPI-2)
- Legal business name
- Abcom Family Dental Care
- Organization subpart
- No
- Enumeration date
- May 19, 2011
- Last updated
- May 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 5001006015 | WI | Yes |
Practice location
5402 Mineral Point RdMadison, WI 53705-4659
Phone 608-231-2863 · Fax 608-231-2974
Mailing address
5402 Mineral Point RdMadison, WI 53705-4659
Phone 608-231-2863 · Fax 608-231-2974
Authorized official
Robert C Bruckner
Owner/Dentist
6082312863
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