| NPI | 1295100907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY ELIZABETH SPENCE Billing/Insurance Manager 319-235-6287 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7999) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 8759) |
| 1223G0001X Dentist, General Practice (Licence: IA 8035) | |
| 1223G0001X Dentist, General Practice (Licence: IA 6067) | |
| 1223G0001X Dentist, General Practice (Licence: IA 5964) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |