| NPI | 1023222858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER JAMES SIERK Owner 563-359-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IA 5823) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-07-17 |