| NPI | 1457452682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN FRANCES O'NEIL President/Owner 414-258-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4392) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |