| NPI | 1922355684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R WESTMAN Owner 262-994-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5228015) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WI 5228015) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2012-08-12 |