NPI | 1720629017 |
---|---|
Doing Business As | DENTAL CARE OF MENOMONEE FALLS |
Entity Type | Organization |
Authorized Contact | JESSICA BRITT Credentialing Coordinator 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-10-08 |
Last Update Date | 2019-10-08 |