| NPI | 1376676916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ALAN ZIOLKOWSKI President 414-962-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 2991-015) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |