| NPI | 1437552841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED JOHN HARDING Owner/Dentist 608-886-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 6537-15) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |