| NPI | 1942450457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE HANSEN FERGUS Endodontist/Owner 414-258-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: IA 5002) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2014-04-17 |