NPI | 1245407881 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMEERA HUSSAIN Owner/Dentist 920-838-1649 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 21815) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |