| NPI | 1538240767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J WESTERCAMP Office Manager 319-362-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 6595) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |