| NPI | 1639511876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TROYER PLANK President 319-338-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08843) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |