| NPI | 1144282542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA T. JARZEMBINSKI Owner 414-352-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WI 4047015) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: WI 5000644015) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2017-11-09 |