| NPI | 1295818177 |
|---|---|
| Former Legal Business Name | MITCHELL W. PELSUE, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | MITCHELL W. PELSUE Orthodontist 608-754-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-05-13 |