| NPI | 1841696127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN HENRY FLEMING Vice President 715-832-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 2965) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |