| NPI | 1366273161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPIKA JAISWAL Dentist/ President 319-337-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-03-31 |