| NPI | 1013215805 |
|---|---|
| Doing Business As | SOUTHWEST IOWA DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JILLIAN TRAVIS Owner 712-246-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA 5587) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2020-01-29 |