NPI | 1528515640 |
---|---|
Doing Business As | ART OF DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER TWOHIG Director Of Developmnet 920-602-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |