| NPI | 1508482852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY ALLEN NOVAK Orthodentist Co Owner 319-396-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |