| NPI | 1144453119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A. KRAUT Practice Owner 608-827-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5782-015) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |