| NPI | 1033232186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY QUATTROCCHI Owner 712-328-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 8243) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |