| NPI | 1790188852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TOMASSETTI President 920-738-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 5699) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |