| NPI | 1134448632 |
|---|---|
| Doing Business As | ELMBROOK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRANDON ANDREW BRUNNER President 262-784-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5526-015) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |