| NPI | 1043267883 |
|---|---|
| Former Legal Business Name | BOYSON DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JAMES RECKER Owner Dentist 319-393-4019 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7455) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 7638) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-06-19 |