| NPI | 1649344649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STUFFLEBEAM President 641-752-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 08055) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |