| NPI | 1457921983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ROSENTHAL PATTERSON Owner/Pediatric Dentist 608-575-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |