| NPI | 1922173145 |
|---|---|
| Former Legal Business Name | DR C C DIKE DDS |
| Entity Type | Organization |
| Authorized Contact | COREY C DIKE President 715-252-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5001601015) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |