NPI | 1558979666 |
---|---|
Doing Business As | FOX GENTLE DENTISTRY |
Entity Type | Organization |
Authorized Contact | MITCH WEILAND Senior Accountant 608-343-0818 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |