| NPI | 1033473608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH SWENSON President 319-351-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08765) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |