| NPI | 1982983714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA C BELL Owner/Dentist 262-306-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5506) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |