| NPI | 1396787099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI MARIE TOLZMAN Dentist 414-483-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI WI5317) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |