| NPI | 1497912950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY RAE RIECK President 515-255-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7887) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |