| NPI | 1841343761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BELARDI Owner 414-546-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WI 5534-015) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WI 5000872-01) |
| 1223E0200X Dentist, Endodontics (Licence: WI 5520-015) | |
| 1223E0200X Dentist, Endodontics (Licence: WI 4387-015) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |