| NPI | 1346761731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M WALSWORTH Owner 319-352-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08370) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |