NPI | 1609095421 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES EVERETT MAAS Dentist 319-364-3221 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 6776) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |