NPI | 1679778138 |
---|---|
Doing Business As | WESTGATE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | NEIL EDWARD PETERSON Owner 414-445-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 5000681) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-08-22 |