| NPI | 1942314067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LUISIER President 920-563-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 2255) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-08-20 |