| NPI | 1518107663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALAN SCHACHERL Owner 608-845-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001623) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |