| NPI | 1578823530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE L. MISKULIN Dentist 715-834-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6278-015) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |