| NPI | 1114009255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE BARBA Owner/Orthodontist 641-423-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 7089) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |