NPI | 1104950336 |
---|---|
Doing Business As | ASSOCIATED DENTISTS OF WATERTOWN |
Entity Type | Organization |
Authorized Contact | MICHAEL J WERTZ Owner 920-261-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4872) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |