Dr. Alisa M Madson, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Arden Hills, MN. Individual provider (NPI-1).
NPI number1770814725
StatusActive
Last updated in NPPESJan 30, 2012
Details
- NPI
- 1770814725
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alisa M Madson
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2010
- Last updated
- Jan 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | D12091 | MN | Yes |
Practice location
3930 Northwoods DriveArden Hills, MN 55112-6963
Phone 651-523-8545
Mailing address
3930 Northwoods DriveArden Hills, MN 55112-6963
Phone 651-523-8545
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