| NPI | 1295922946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ALERON LEIPNITZ President/Owner 715-235-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 5165-015) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |