| NPI | 1053405936 |
|---|---|
| Doing Business As | URBANDALE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THOMAS R TIPPINS Pres 515-276-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06355) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |