| NPI | 1659565349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY ANDREW KOURI Partner 515-274-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 08239) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |