NPI | 1477638815 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES THOMAS GIMBEL Dentist Owner 563-386-0301 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06835) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2011-01-14 |