| NPI | 1417673310 |
|---|---|
| Doing Business As | MODERN FAMILY DENTISTS |
| Entity Type | Organization |
| Authorized Contact | KENNETH ANTONOFF Dentists 414-698-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |