NPI | 1801920764 |
---|---|
Entity Type | Organization |
Authorized Contact | SIDNEY H FRIEDMAN President 262-240-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001442-015) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |