| NPI | 1144488370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC S WELGE Partner 515-225-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |