| NPI | 1154466332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M TYLER Owner 319-366-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7841) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |