| NPI | 1134343924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S KIM President 715-849-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: WI 4878) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |