| NPI | 1881718773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. ALT Dentist 715-359-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5000740015) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |