| NPI | 1417298696 |
|---|---|
| Doing Business As | LITTLE SPROUTS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW H. LANGEWISCH Managing Member 262-297-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 5824-15) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |