NPI 1003171281

Cgr Dental, Sc

Organisation Dental Clinic/Center Madison, WI

Practice location

Address: 4706 Cottage Grove Rd STE. 400, Madison, WI 53716-1323
Phone: (608) 268-1700

Authorised official

Name: Edward Stepanenkov
Title: President
Phone: (608) 335-2030

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1003171281
Entity type: Organization
NPI issued: 12 Jul 2012
Record last updated: 12 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.