| NPI | 1427135490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOSEPH SEDARS President 515-993-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08219) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |