| NPI | 1427861921 |
|---|---|
| Doing Business As | THE GOOD DENTIST |
| Entity Type | Organization |
| Authorized Contact | KATE MANTAY Director Of Operations 262-649-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |