| NPI | 1346630654 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE OF SIOUX CITY |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Credentialing 712-522-3274 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |