| NPI | 1053496760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE WRIGHT MCLAUGHLIN Dentist President 319-373-5082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7393) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 7795) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-02-27 |