| NPI | 1134235427 |
|---|---|
| Doing Business As | TMJ & OROFACIAL PAIN TREATMENT CENTERS OF WI |
| Entity Type | Organization |
| Authorized Contact | JAY L MACKMAN Owner President 414-476-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2017-01-19 |