NPI | 1477611267 |
---|---|
Entity Type | Organization |
Authorized Contact | BOYD NELSON NORDMARK President 515-243-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 04716) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |