| NPI | 1184737801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W. KAALBERG President 319-364-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IA 5773) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |