| NPI | 1417075615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES SHECKLER President 641-228-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7045) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |