| NPI | 1134277692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. GALOW President 920-731-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001315) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-05-01 |