| NPI | 1013174069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN GILBAUGH Owner 319-351-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7143) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2011-01-18 |