| NPI | 1982778833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M HARTJES Partner 608-836-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 4461 & 2835) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |