| NPI | 1114083342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH REESE President 608-274-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001328-015) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2020-08-22 |