| NPI | 1467863977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZELI TARJAN Dentist/Owner 641-821-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9970) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |