| NPI | 1306003520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL R. STUNTZ Owner 712-323-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IA 06149) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |