| NPI | 1548352214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A NEMCEK Dentist 262-786-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5982) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 3991) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |