| NPI | 1083705495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM LASNOSKI President Prosthodontist 920-499-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 5001473015) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901015553) |
| 1223P0700X Dentist, Prosthodontics (Licence: MI 2901015553) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-04-22 |