| NPI | 1316347826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHN SALM Dentist Owner 414-526-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 6060) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |