| NPI | 1245541655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW L HAEGER Manager Of Health And Safety 608-743-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 1689811432) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |