| NPI | 1427437201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBB WARREN Owner 608-241-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5414) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 7110) |
| 1223G0001X Dentist, General Practice (Licence: WI 5000477) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |