| NPI | 1588821557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN CASTER Manager 319-665-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 07445) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |