| NPI | 1013038447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC G MORIO President 319-743-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IA 08116) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IA 08382) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |