| NPI | 1710010707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E. AGARD President 608-755-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 2320) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |