| NPI | 1659435360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L JONES Partner/Dentist 712-328-8573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08132) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 6614) |
| 1223G0001X Dentist, General Practice (Licence: IA 6855) | |
| 1223G0001X Dentist, General Practice (Licence: IA 8132) | |
| 1223G0001X Dentist, General Practice (Licence: IA 6029) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-12-06 |