| NPI | 1962522334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY S. BARTON President 414-259-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WV 5001735) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |