NPI | 1245785898 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES HENRY KNIGHT President 515-573-8251 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IA 06995) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-08-23 |
Last Update Date | 2022-08-31 |