| NPI | 1528266467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEVEN LEVINE Owner 414-355-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3979) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |