| NPI | 1699820563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B EHLERT President 920-725-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5002102) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |