| NPI | 1740433085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNHARD A. BAYER President 262-542-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WI 3864) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: WI 4253) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |