NPI | 1144300625 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE J. BERNA Office Manager 715-848-2435 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: WI 2929) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |