| NPI | 1669684718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E WARREN President 608-824-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 0477G) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |