| NPI | 1174850499 |
|---|---|
| Doing Business As | MITCHELL STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | TONY H. YONG President/Owner 414-383-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |