Most Relevant Information
Provider Data
| NPI Number: | 1003338575 |
| Provider Name: | LACRIMA M GOLDBERG DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN1857596 |
Most Important Dates
| Enumeration Date: | 07/17/2017 |
| Last Updated: | 08/07/2018 |
Provider Practice Location
826 ATLAS AVE
MADISON
WI
53714
Practice Location Phone/Fax
| Phone: | 9543095786 |
| Fax: |
Provider Mailing Location
309 W JOHNSON ST APT 1245
MADISON
WI
537033766
Provider Mailing Phone/Fax
| Phone: | 9543095786 |
| Fax: |