| NPI | 1417040239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KIRKPATRICK President 608-222-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4232-015) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |