| NPI | 1043334121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J WERNER Owner 608-531-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5310015) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |