| NPI | 1588709737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROGER KEARNS Partner 515-287-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 6678 and 7639) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |