| NPI | 1699846485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K SKRENES Insurance Coordinator 608-827-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 2887) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |