| NPI | 1093971954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WAYNE SLETTEN Owner 715-377-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 5935-015) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |