| NPI | 1437244480 |
|---|---|
| Former Legal Business Name | WEBER AND OTTO FAMILY DENTISTRY PLC |
| Entity Type | Organization |
| Authorized Contact | JERALYN G. HUISMAN Practice COO Rdinator 641-424-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-06-15 |