| NPI | 1841667466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA K CHEREKLAABS Director Dental Programs 414-977-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WI 5705-16) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-03-16 |