| NPI | 1003015991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY WALKER Office Manager 319-234-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2013-02-11 |