| NPI | 1861848293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND SCHNEIDER III Dentist/Owner 920-494-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 1223G0001X) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |