| NPI | 1932445442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG L SMITH President 262-242-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5426-15) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |