| NPI | 1326113200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HAROLD GALOW President 920-231-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 2990) |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2020-08-22 |