| NPI | 1356885008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DAVID DYE President 319-929-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08551) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |