| NPI | 1245280742 |
|---|---|
| Former Legal Business Name | MARK BARRETTE DDS, S.C. |
| Entity Type | Organization |
| Authorized Contact | ANDREA K LARSEN Owner 920-885-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 500159515) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-08-23 |