| NPI | 1184072555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE J. ROCKOW-NELSON Owner/Dentist 515-956-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IA 08059) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-10-12 |