NPI | 1205131919 |
---|---|
Doing Business As | SPRING VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | ROBERT CHARLES RODRIGUEZ Co Owner 319-294-2323 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IA 07401) |
Enumeration Date | 2011-01-12 |
Last Update Date | 2011-01-12 |