| NPI | 1144490707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A ANDERSON Owner/Doctor 563-355-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IA 7637) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IA 7766) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IA 7839) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-11 |