| NPI | 1659446086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH FOUST President 515-225-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |