NPI | 1467433821 |
---|---|
Former Legal Business Name | BANCKER & KREUL, S.C. |
Entity Type | Organization |
Authorized Contact | FREDRIC S KREUL President 715-344-6499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2005-11-10 |
Last Update Date | 2013-11-04 |