| NPI | 1063622561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY I SEHLER Periodontist 414-259-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 1838E) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |