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 |