| NPI | 1003176272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J GLAPA Owner 920-734-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: WI 2290) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |