| NPI | 1235544180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANA KWABENA YEBOAH Chief Manager 515-480-4967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D13018) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2014-06-29 |