| NPI | 1285055350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SARRETT MEYER Owner Of Dental Practice 712-362-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |