| NPI | 1356476774 |
|---|---|
| Other Name | PACO FRALICK D.D.S. |
| Entity Type | Organization |
| Authorized Contact | LEONARD FRALICK Dentist 715-365-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 4504) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |