| NPI | 1477832046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SPENCER HORTON President 319-393-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08824) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |