| NPI | 1629190863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY E BROWN Owner President 715-623-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WI 5020015) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |