| NPI | 1033378120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HAROLD BAUSCH Orthodontist 563-355-7488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 6623) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |