| NPI | 1386794105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SCOTT STEWART Pres 515-964-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 07718) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |