| NPI | 1174974588 |
|---|---|
| Doing Business As | UNIVERSITY HILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LIBERTY BOUCHER Sole Member 608-287-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |