| NPI | 1639778814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO G CIGNO Dentist 414-988-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |