| NPI | 1184881963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN P REHAK Dentist/Owner 319-362-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 6205) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |