| NPI | 1174604888 |
|---|---|
| Doing Business As | WEST ALLIS DENTAL CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J PERSICH Owner 414-258-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001644) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |