| NPI | 1841456761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A PERRY Chief Executive Officer 608-361-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2009-06-03 |