| NPI | 1447077045 |
|---|---|
| Doing Business As | 414 DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS RUIZ Owner/General Dentist 414-744-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |