| NPI | 1699985051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE E POPPE Partner 608-358-3370 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3480) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 1384G) |
| 1223G0001X Dentist, General Practice (Licence: WI 6749-015) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-01-31 |