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 |