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 |