NPI | 1437247202 |
---|---|
Entity Type | Organization |
Authorized Contact | GARRIK JONES Owner/Dentist 319-338-9219 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07640) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2012-11-14 |