| NPI | 1306968953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE SCHOLL Office Manager 515-332-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-01-04 |