| NPI | 1275998676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA BLASS President 515-965-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08599) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-03-10 |