NPI | 1629490727 |
---|---|
Doing Business As | CORNERSTONE DENTAL |
Entity Type | Organization |
Authorized Contact | RYAN HUSSONG Owner 515-984-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-01-09 |
Last Update Date | 2014-01-09 |