| NPI | 1821532060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HARRIS President 414-771-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6238) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |