| NPI | 1811066137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J PINCSAK President 262-798-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |