| NPI | 1134248826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN KOCH-WOMER Business Owner 563-875-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08093) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |