| NPI | 1457810566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIJE ONWUEME Owner 608-239-9467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-03-30 |