| NPI | 1477277101 |
|---|---|
| Doing Business As | PRAIRIE ENDODONTICS PLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCCUNNIFF Owner 319-939-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |