| NPI | 1205094836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEON SADOWSKI Dentist/Owner 920-682-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 0548G) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2023-03-07 |