| NPI | 1265543300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS BARTOLOMEI Owner/President 414-431-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4742) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |