| NPI | 1669549044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W. KNICKMEYER Partner 608-643-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5002061-015) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |