| NPI | 1306002696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN STINGLEY Dentist 319-465-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06831) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |