| NPI | 1639331242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ELDON KANE Dentist 563-583-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06568) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |