| NPI | 1013484682 |
|---|---|
| Doing Business As | ADVANCED IMPLANT DENTISTRY AND ORAL RESTORATION |
| Entity Type | Organization |
| Authorized Contact | ALLON WALTUCH Dentist 515-295-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |