| NPI | 1659613115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI LYNN BERLAND Registered Dental Hygienist 414-403-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 9824-16) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |