| NPI | 1013184217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RYAN FRANZMAN Owner 563-344-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08258) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |