| NPI | 1528145976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W PLATT Dr Co Owner 515-275-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA Dr Jeff Gragg 08240) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA Dr Mark W Platt 6772) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |