| NPI | 1104074897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SWANSON President 515-233-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |