NPI | 1417020454 |
---|---|
Doing Business As | OAKWOOD DENTAL |
Entity Type | Organization |
Authorized Contact | GENIE KUBLE Contact Officer 920-450-0157 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5000526) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |