| NPI | 1447583711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A. BEESECKER Owner 563-578-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08432) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |