| NPI | 1871762757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN POSER President 262-255-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 2616) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |