| NPI | 1215030804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F CHAPMAN President 608-365-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5002049015) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 5002032015) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |