| NPI | 1417345307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM CORTOPASSI Owner 608-519-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126900000X Dental Laboratory Technician |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2015-01-09 |