| NPI | 1174089130 |
|---|---|
| Doing Business As | QUAD MED DENTAL WEST ALLIS |
| Entity Type | Organization |
| Authorized Contact | ROBERT L POULSEN CFO 414-566-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2021-02-10 |