| NPI | 1366546996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T ISERMANN President 262-554-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WI 1582G) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |