| NPI | 1245544436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE W. CRAWFORD Endodontist 515-232-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IA 6103) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IA 08403) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |