NPI | 1427050434 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES L COOK Owner/President 414-327-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1201G) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-08-22 |