| NPI | 1346022068 |
|---|---|
| Doing Business As | CDSA |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WADE BARNARD Pediatric Dentist 515-776-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |