NPI | 1154574846 |
---|---|
Former Legal Business Name | JAMES M MAIXNER DDS |
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL MAIXNER Manager 319-352-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06793) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2009-07-06 |