| NPI | 1083947667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE S GUNSTREAM Periodontist 319-351-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IA 08614) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |