| NPI | 1972711505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN MARIE CZAPLICKI Vice President 414-427-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4051) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-10-30 |