| NPI | 1245355460 |
|---|---|
| Doing Business As | IMPLANT DENTISTRY OF WISCONSIN |
| Entity Type | Organization |
| Authorized Contact | KIM A GOWEY President 715-748-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5001790015) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |