| NPI | 1346460649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J SHEILD President 262-567-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3477) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |