| NPI | 1881982221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G. WEINBERG Orthodontist 262-637-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 6500-15) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-08-01 |