| NPI | 1235454794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY SCHILLING President 608-216-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 6422-015) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2010-03-28 |