| NPI | 1184118416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT D STRAUB Doctor/Owner 262-284-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 5716) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |