| NPI | 1922017177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L STEPHEN WARD WARD President 414-464-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001250) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |