| NPI | 1932151685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BREKKE DURTSCHE President 608-784-7319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 2244) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |