| NPI | 1427223882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KATHRYN GANNON-PALMER President 515-223-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 07573) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |