| NPI | 1043761398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE VAN NIEUWENHUYZEN Doctor/Endodontist 563-209-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 09335) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |