| NPI | 1033438957 |
|---|---|
| Doing Business As | HERITAGE CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CLINTON SCOTT TIMMERMAN President 515-783-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA 08515) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |