| NPI | 1528135944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUMAN CHRISTOPHER JOHNSON President 319-363-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IA 7959) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-06-27 |