| NPI | 1538414503 |
|---|---|
| Doing Business As | WISCONSIN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONOVAN Y LEE Presi Dent 414-801-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6956-15) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-20 |