| NPI | 1376369207 |
|---|---|
| Doing Business As | NORTHSIDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHAD OLINGER Dentist/Owner 515-291-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |