| NPI | 1619099140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EARL DENNISON President 715-735-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 27000-015) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |