| NPI | 1710070230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A. HOLZHAUER President 262-367-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 3236) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 4158) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 6251-15) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-03-13 |