| NPI | 1073780490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY GRAHAM Dentist/President 515-987-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08507) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |