| NPI | 1841419587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS FAWZI ABUJAMRA Doctor 920-347-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 4873-015) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |