| NPI | 1851433114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FRANCIS POPELKA Owner 920-734-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 3400W) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |