NPI | 1366586455 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CHARLES WERTZ President 563-556-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IA 5979) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |