| NPI | 1245656800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CRAIG PETERSON Doctor/Owner 319-366-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IA 08193) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |