| NPI | 1316105786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES DAHLBERG President 515-282-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 6967) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2008-06-01 |