| NPI | 1336634799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR J SCHROEDER Dentist 712-243-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08886) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IA 09290) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |