| NPI | 1679132815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TRETTIN President 414-357-2040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| 122300000X Dentist | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |