| NPI | 1700390242 |
|---|---|
| Doing Business As | TOOTH OR GUM LLC |
| Entity Type | Organization |
| Authorized Contact | ERNESTO ESPINOSA Owner 262-673-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: WI 1001150) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |