Organization · Type 2 NPI

Mi Dentista LLC

General Practice Dentistry · Madison, WI

NPI number 1891192415 Active

About NPI 1891192415

Mi Dentista LLC's National Provider Identifier is 1891192415, issued on Nov 25, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Madison, WI. The record was last updated on Nov 25, 2014.