NPI | 1407006679 |
---|---|
Other Name | NOELRIDGE DENTAL |
Entity Type | Organization |
Authorized Contact | JEANNIE MARIE COLLINS Owner 319-393-6152 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IA 7922) |
Additional Taxonomies | 122300000X Dentist (Licence: IA 08567) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2008-09-24 |