| NPI | 1366022071 |
|---|---|
| Doing Business As | FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E MARTIN Owner 414-517-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |