| NPI | 1053253260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA GYURINA Owner/Dentist 608-833-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-04-07 |