| NPI | 1528226354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MEYERS Office Manager 563-875-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07230) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |