| NPI | 1437218443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S BAUS President Treasurer 920-849-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001454-015) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-10-02 |