| NPI | 1295930634 |
|---|---|
| Other Name | DENTAL IMPLANT INSTITUTE OF WISCONSIN |
| Entity Type | Organization |
| Authorized Contact | AHMAD ESLAMI President 414-321-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WI 3218) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2020-08-22 |