| NPI | 1508076704 |
|---|---|
| Other Name | TREMPEALEAU DENTAL |
| Entity Type | Organization |
| Authorized Contact | MIKE P. OLSEN President 608-783-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 4528) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |