| NPI | 1104942432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ANDREKUS President 262-652-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: WI 3650) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-06-11 |