| NPI | 1477673556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSHIN HAMEDI President 262-695-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4424) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |