| NPI | 1386906410 |
|---|---|
| Other Name | GALLERIA WEST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC W BIEDERWOLF Owner/Dentist/President 262-754-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-07-18 |