| NPI | 1134248578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK C LIU President Endodontist 319-365-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IA 08090) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-01-28 |