| NPI | 1679656979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A KASS President 262-784-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 5000531015) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-06-01 |