| NPI | 1801198858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM TRAN-WERTZ Dentist 262-782-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 4384-015) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |