| NPI | 1811498561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KUJAK Orthodontist/Owner 608-783-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WI 6949) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |