| NPI | 1821439076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SCHLEY Office Manager 414-545-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3343) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |