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General NPI Number Information
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NPI Number | 1467379750
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Entity Type | Organization
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Legal Business Name | ISTHMUS FAMILY DENTAL LLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 122 E JOHNSON ST
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City | MADISON
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State | WI
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Zip | 53703-2120
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Country | US
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Telephone | 608-257-0116
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Fax |
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Provider Business Mailing Address
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Address Line | 122 E JOHNSON ST
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City | MADISON
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State | WI
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Zip | 53703-2120
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Country | US
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Telephone | 608-257-0116
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | GOLDEN VU
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Credential | DDS
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Telephone | 608-704-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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