| NPI | 1114265618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITA BRENNER Dentist 414-467-4586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25464) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |