NPI | 1194050286 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLEY RUEHS President 319-277-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IA 07938) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2009-10-07 |