NPI | 1629526223 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM VEIT Orthodontist 920-267-3045 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 100117915) |
Enumeration Date | 2016-09-13 |
Last Update Date | 2016-09-13 |