| NPI | 1821264300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A. ASWEGAN Dentist 608-222-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 973G) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |