| NPI | 1083397244 |
|---|---|
| Doing Business As | SKINNER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JASON SKINNER Owner/President 641-583-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |