| NPI | 1356738785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JARZEMBINSKI Owner 414-352-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 4047015) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |