| NPI | 1730232265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN KOHLER Executive Administrator 262-673-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 782) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-04-17 |