NPI | 1609085257 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM C. KUTTLER President 563-583-6424 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 05780) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2008-06-20 |