NPI | 1245944552 |
---|---|
Former Legal Business Name | DAVID G BRILOWSKI DDS |
Entity Type | Organization |
Authorized Contact | BROCK DAVID BRILOWSKI Dentist 262-364-7079 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-01-11 |
Last Update Date | 2023-01-11 |