| NPI | 1760538490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L RAGONESE President 414-327-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 5420-015) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-03-29 |