| NPI | 1043473580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA LYNN KUKARANS President 563-381-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 08487) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |