| NPI | 1992738082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN J SKIBBA Privacy Offical 608-246-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |