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Madison Street Dental Llc
Dental Clinic/Center in Woodstock, Illinois
NPI 1497260152

Madison Street Dental Llc is a Dental Clinic/Center based in Schaumburg, IL and is specialized in Dental. Madison Street Dental Llc practices in Woodstock, IL. The NPI Number for Madison Street Dental Llc is 1497260152 and holds a License No. 019015666 (Illinois).

The current practice location address for Madison Street Dental Llc is 210 N Madison St, Woodstock, IL and can be reached out via phone at 815-338-7569.

Location: 210 N Madison St, Woodstock, IL, 60173-4955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497260152
Provider Name
Madison Street Dental Llc
Credential
Provider Entity Type
Organization
Address
210 N Madison St, Woodstock, IL, 60173-4955
Phone Number
815-338-7569
Fax Number
Provider Enumeration Date
12/04/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
210 N Madison St
City
Woodstock
State
Illinois
Zip
60098-3450
Phone Number
815-338-7569
Fax Number
person
Provider Business Mailing Address Details
Address
210 N Madison St
City
Woodstock
State
Illinois
Zip
60098-3450
Phone Number
815-338-7569
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019015666 (Illinois)
Definition
Definition to come...
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