| NPI | 1457541740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA K BERNHARDT President 515-987-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IA 07821) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |