| NPI | 1346551256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE POPPE Director Of Operations 608-358-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 3233-015) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |