| NPI | 1497202386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARIMAL SAPOVADIA Oral Surgeon/President 715-845-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 5943-15) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |