| NPI | 1730332123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E DARLING Owner 414-964-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 3770WI) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |