| NPI | 1609060433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JOHN SCHULLER Dentist 319-378-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 06013) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |