| NPI | 1538235650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS RONCONI Owner 515-573-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06982) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |