| NPI | 1386765840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S. MCFARLANE President 920-231-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-01-26 |