| NPI | 1518124544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ELLIOTT NEWELL President 712-336-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IA 6144) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |