| NPI | 1629373196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALBRECHT Dentist/Owner 262-338-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WI 3717) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |