Search › Wisconsin › 1223G0001X
Blair Moldenhauer, DMD
NPI 1568786655 · on the registry since 2010 · sole proprietor
Practice
- Address
- 238 W Main St
Sun Prairie, WI 53590 - Phone
- (608) 318-2119
- Fax
- (608) 318-2119
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223X0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin