| NPI | 1477663045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E BUSBY President 608-274-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5002053) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |