| NPI | 1497828172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GAIL KRAKLOW General Dentist 262-547-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4732) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-06-11 |