| NPI | 1760593008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND PETER WOLFERSTETTER Dentist Owner 414-464-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5002074) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-02-26 |