| NPI | 1265735534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MICHAEL PATTEN President 515-233-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08348) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2016-02-17 |