| NPI | 1679606537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E MCGRATH Owner 715-423-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001043) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |