| NPI | 1679710883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE FRANK Office Manager 414-771-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 2560) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-14 |