| NPI | 1316984784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S ROBINSON Owner 608-756-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WI 5001676) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: WI 3235) |
| 1223G0001X Dentist General Practice (Licence: WI 4377) | |
| 1223G0001X Dentist General Practice (Licence: WI 7070-15) | |
| 1223G0001X Dentist General Practice (Licence: WI 7258-15) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-09-17 |