| NPI | 1003936279 |
|---|---|
| Doing Business As | BARKRIVER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL P. SMITH Dentist/Owner 262-367-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-04-08 |