| NPI | 1134111974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CARL TAUSCHEK Owner/President 608-848-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI WI3998) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30018639) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2011-01-26 |