| NPI | 1669864542 |
|---|---|
| Doing Business As | THE CENTER FOR PERIODONTICS AND DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS FABIAN Manager 608-712-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |