| NPI | 1619023082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY OTTO HART President 414-962-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: WI 1896G) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |