NPI | 1154477818 |
---|---|
Doing Business As | GENTLE DENTAL EMPORIUM |
Entity Type | Organization |
Authorized Contact | KRISTINE NEUBURG Owner 262-338-8704 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI WI2517K) |
Additional Taxonomies | 122300000X Dentist (Licence: WI WI5624) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2025-06-30 |