| NPI | 1144568601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEJAL U SHAH President 515-519-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223P0300X Dentist, Periodontics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |