| NPI | 1841623451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K FITZPATRICK Dental Hygienist 262-818-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 9800-16) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |