| NPI | 1316080773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE K WINTER President 414-464-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3057-015) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |