| NPI | 1255439691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WANLEY CHAN President 515-246-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IA 08185) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-21 |