| NPI | 1649493529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PIERQUET President 920-434-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3537-015) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |