| NPI | 1013175140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE SHARPE Vice President 515-440-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 7772) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |