| NPI | 1588897557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S ONELA Practice Owner 414-604-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5102-015) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |