NPI | 1093034365 |
---|---|
Doing Business As | MORNINGSIDE DENTAL |
Entity Type | Organization |
Authorized Contact | CHARLES HOWARD KIPLE President 712-276-2206 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07781) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2012-06-19 |