| NPI | 1457518623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FRANK ALLEN Owner/Dentist 641-628-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 7227) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |