| NPI | 1316030349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFEREY EDWARD RUBEL Owner 319-545-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7419) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-10-20 |