| NPI | 1114427358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALEEM RAZI President 414-807-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |