| NPI | 1376930990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL IGWIKE Manager/Part Owner 414-837-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5519) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |