| 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 |