| NPI | 1366156820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY MARIE CROCK Controller 319-277-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |