| NPI | 1104187293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W STEINBACH Dentist 262-781-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 1402G) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6882-15) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |