| NPI | 1205910924 |
|---|---|
| Doing Business As | ADVANCED DENTISTRY OF IOWA CITY |
| Entity Type | Organization |
| Authorized Contact | PAMELA RUTH PUMP Office Manager 319-354-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA 07551) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA 05960) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |