| NPI | 1043483357 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY ROBERT CIEPLUCH Owner 414-342-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 2260-015) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-20 |