| NPI | 1003035106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ARMSTRONG President 262-694-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3581 - 015) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |