| 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 |