NPI | 1639574585 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE MORSEHEAD Patient Experience Coordinator 262-484-4356 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-11-04 |
Last Update Date | 2014-11-04 |