| NPI | 1699088369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH BLOCHER Owner/Oral Surgeon 414-607-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 4002) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2015-05-13 |