| NPI | 1205905619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANN MILLER Pediatric Dentist 920-336-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 4176) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-01-07 |