| NPI | 1811005903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE ZUSSMAN President Of Corp Orthodontist 414-351-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 5001251) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |