| NPI | 1194874883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H GRIGSBY President 608-362-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001606-015) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |