| NPI | 1356884613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LABADIE Owner, Dentist 262-716-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 7064) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |