| NPI | 1710968086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J STEINMETZ President 920-731-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 4586) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-08-22 |