| NPI | 1215388616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN D GOCHNOUR Dr./Owner 608-271-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 5066) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |