| NPI | 1366772204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN LYONS Dentist/Partner 608-752-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 0004660) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2009-12-27 |