| NPI | 1487708251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUAN LI Owner 414-257-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6488015) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 5001135) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-06-17 |