| NPI | 1225819782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANMEET ARORA Director Of Revenue Operations 414-806-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |