| NPI | 1972789923 |
|---|---|
| Doing Business As | MARKET PLACE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BAO CHAU NGUYEN Dentist/Owner 414-764-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5362) |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2008-01-20 |